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MR. ALFRED MICHEAL QUINTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2365 HARRISON AVE, EUREKA, CA 95501-3216
(707) 445-3111
(707) 442-8792
Mailing address
2365 HARRISON AVE, EUREKA, CA 95501-3216
(707) 445-3111
(707) 442-8792

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GXC000320
CA
Enumeration date
10/12/2006
Last updated
07/09/2007
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