Individual
GIOVANNI STEVEN QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(877) 412-7474
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
E143228
CA
Other
Enumeration date
08/23/2023
Last updated
06/15/2025
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