Individual
JOEL QUITUGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3906 WABASH AVE UNIT C, SAN DIEGO, CA 92104-2121
(808) 379-8383
Mailing address
PO BOX 882258, SAN DIEGO, CA 92168-2258
(808) 379-8383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95212031
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024042
CA
Other
Enumeration date
01/20/2022
Last updated
01/27/2023
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