Individual
BIANCA QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14766 WASHINGTON AVE, SAN LEANDRO, CA 94578-4220
(510) 352-2211
Mailing address
56 DIANA ST, SAN FRANCISCO, CA 94124-2600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20674
CA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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