Individual
MISS ANDREA QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 PERCY ST, LOS ANGELES, CA 90023-1716
(323) 268-2100
Mailing address
10989 BLUFFSIDE DR APT 3407, STUDIO CITY, CA 91604-4462
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
76375
CA
Other
Enumeration date
11/30/2015
Last updated
03/17/2018
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