Individual
DAVID QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5000
Mailing address
1451 ROCKY RIDGE DR APT 810, ROSEVILLE, CA 95661-3006
(408) 636-3876
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95078154
CA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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