Individual
MICHELLE QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9862 CHAPMAN AVE STE B, GARDEN GROVE, CA 92841-2726
(714) 620-7001
Mailing address
205 E 10TH ST, LONG BEACH, CA 90813-4303
(951) 553-4096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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