Individual
JIMMY QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 MISSION RD, SOUTH SAN FRANCISCO, CA 94080-1302
(415) 710-1152
Mailing address
1115 MISSION RD, SOUTH SAN FRANCISCO, CA 94080-1302
(415) 710-1152
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
03/17/2018
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