Individual
JACK QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
253 N SAN GABRIEL BLVD STE A, PASADENA, CA 91107-3429
(818) 844-3376
Mailing address
1815 S HIDALGO AVE, ALHAMBRA, CA 91801-5514
(626) 716-4335
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5617
CA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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