Individual
EDGAR QUIROZ-MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 MARGARET ST, SAN JOSE, CA 95112-5828
(408) 278-2564
(408) 295-6232
Mailing address
10 MARGARET ST, SAN JOSE, CA 95112-5828
(408) 278-2564
(408) 295-6232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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