Individual
CECILIA TALPA QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
565 N. MOUNT VERNON AVE., SAN BERNARDINO, CA 92411
(909) 884-9091
(909) 383-7013
Mailing address
685 CARNEGIE DR., SUITE 230, SAN BERNARDINO, CA 92408-3583
(909) 890-0407
(909) 890-0575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13303
CA
Other
Enumeration date
10/13/2006
Last updated
06/21/2011
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