Individual
JIM QUACH
Active
Individual
JIM QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL TECHNOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
CLP.203610-GEN
LA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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