Individual
GLENN QUIJANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4610 X ST, SACRAMENTO, CA 95817-2200
(916) 734-2145
Mailing address
6977 SALE AVE, WEST HILLS, CA 91307-2660
(818) 312-2219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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