Individual
QUINCY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
594 W MUNCIE AVE, CLOVIS, CA 93619-8350
(559) 905-1998
Mailing address
594 W MUNCIE AVE, CLOVIS, CA 93619-8350
(559) 905-1998
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A3812436
CA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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