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Individual

LISA SHALEE QUIDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
31878 DEL OBISPO ST STE 111, SAN JUAN CAPISTRANO, CA 92675-3223
(949) 558-5051
Mailing address
31878 DEL OBISPO ST STE 111, SAN JUAN CAPISTRANO, CA 92675-3223
(949) 558-5051

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
4087
CA

Other

Enumeration date
03/13/2024
Last updated
03/13/2024
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