Individual
MIMI QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6181 MISSION ST, DALY CITY, CA 94014-2002
(415) 377-0140
Mailing address
3937 GEDDES CT, SOUTH SAN FRANCISCO, CA 94080-3962
(650) 477-8961
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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