Individual
ANTONIO QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12623 AVENUE 416, OROSI, CA 93647-2017
(559) 528-4075
Mailing address
3034 N FILBERT AVE, FRESNO, CA 93727-9104
(559) 285-0594
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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