Individual
EDUARDO QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 E CHAPMAN AVE STE 203, FULLERTON, CA 92831-3846
(909) 545-7199
Mailing address
PO BOX 919, FULLERTON, CA 92836-0919
(909) 545-7199
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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