Individual
AMY QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8933 ACTIVITY RD, SAN DIEGO, CA 92126-4427
(858) 309-2619
Mailing address
8933 ACTIVITY RD, SAN DIEGO, CA 92126-4427
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
293903
CA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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