Individual
QUOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12945 MARENGO RD, GALT, CA 95632-8422
(209) 745-3061
Mailing address
12945 MARENGO RD, GALT, CA 95632-8422
(209) 745-3061
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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