Individual
NINA QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 W 37TH ST, SAN PEDRO, CA 90731-6977
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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