Individual
BRADY TADAO QUON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4101
Mailing address
934 GOLDENROD DR, COSTA MESA, CA 92626-1716
(714) 656-7279
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2022
Last updated
03/26/2022
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