Provider Information for 1457817033
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ALANA TERESA QUINONES
Sex: Female
NPI: 1457817033
Last Updated: 2024-07-02
Certification Date: 2024-07-02
Certification Date: 2024-07-02
Details
| Name | Value | ||||||||||||||||
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| NPI | 1457817033 | ||||||||||||||||
| Enumeration Date | 2019-02-19 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1212 N CALIFORNIA ST STOCKTON, CA 95202-1552 United States Phone: | Fax: | ||||||||||||||||
| Primary Practice Address | 1212 N CALIFORNIA ST STOCKTON, CA 95202-1552 United States Phone: 209-468-8862 | Fax: | ||||||||||||||||
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