Individual
OSCAR MAURICIO QUINTANILLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 E F ST, TEHACHAPI, CA 93561-1710
(661) 822-8223
Mailing address
113 E F ST, TEHACHAPI, CA 93561-1710
(661) 822-8223
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
09/18/2023
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