Individual
BLANCA QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16377 MAIN ST, SUITE C, HESPERIA, CA 92345-3567
(760) 244-4818
(760) 244-8099
Mailing address
16377 MAIN ST, SUITE C, HESPERIA, CA 92345-3567
(760) 244-4818
(760) 244-8099
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104080324
NPI
CA
Enumeration date
07/16/2008
Last updated
09/24/2012
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