Individual
GERARDO QUINONES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
839 ILLINOIS AVE., COLTON, CA 92324-9232
(562) 533-8348
Mailing address
1040 S MOUNT VERNON AVE # G-276, COLTON, CA 92324-4228
(562) 533-8348
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-00060479
CA
Other
Enumeration date
10/19/2020
Last updated
10/20/2020
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