Individual
QUYEN THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 ATLANTIC AVE, ALAMEDA, CA 94501-1148
(510) 924-7667
Mailing address
1005 ATLANTIC AVE, ALAMEDA, CA 94501-1148
(510) 924-7667
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
05/21/2025
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