Individual
MARIA LOUISA BANAAG QUICHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25821 VERMONT AVE, HARBOR CITY, CA 90710-3518
(424) 251-7133
Mailing address
18600 S FIGUEROA ST STE 119, GARDENA, CA 90248-4505
(310) 850-9253
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
17916
CA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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