Individual
MR. JUSTIN TANAKA QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 89TH ST, DALY CITY, CA 94015-1802
(650) 301-8650
Mailing address
375 89TH ST, DALY CITY, CA 94015-1802
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
04/02/2018
Last updated
05/09/2023
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