Individual
FELIPE QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 MEADOW LARK DR, SAN DIEGO, CA 92123-2711
(858) 514-8549
Mailing address
2901 MEADOW LARK DR, SAN DIEGO, CA 92123-2711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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