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Individual

RIYANTO QUEMENA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
841 W VALLEY BLVD, SUITE#102, ALHAMBRA, CA 91803-3251
(626) 576-2900
(626) 576-3968
Mailing address
841 W VALLEY BLVD, SUITE#102, ALHAMBRA, CA 91803-3251
(626) 576-2900
(626) 576-3968

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2792
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E27920
CA
Enumeration date
05/08/2006
Last updated
02/27/2020
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