Individual
SEAN MICHAEL QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 C ST, SACRAMENTO, CA 95816-3300
(916) 551-3203
Mailing address
8081 LANGHAM WAY, SACRAMENTO, CA 95829-6071
(916) 513-2445
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C53905
CA
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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