Individual
MR. ANTHONY GIAQUINTA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2975 MCMILLAN AVE, SAN LUIS OBISPO, CA 93401-6768
(805) 620-4600
Mailing address
2975 MCMILLAN AVE, SAN LUIS OBISPO, CA 93401-6768
(805) 620-4600
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33657
CA
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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