Individual
MARK WILLIAM QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 CLAUS RD, MODESTO, CA 95355-9711
(120) 955-8470
Mailing address
1501 CLAUS RD, MODESTO, CA 95355-9711
(120) 955-8470
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/20/2007
Last updated
10/20/2007
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