Individual
MS. TRISHA RAE QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.T., A.T.C,
Contact information
Practice address
395 DOHERTY DR, LARKSPUR, CA 94939-1536
(415) 945-3619
Mailing address
41 CLARK ST, SAN RAFAEL, CA 94901-3653
(415) 197-5585
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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