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Paul Michael Quinones Jr.

Community Health Worker in Stockton, CA. Individual provider (NPI-1).

NPI number1316629488
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1316629488
Entity type
Individual (NPI-1)
Name
Paul Michael Quinones Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 7, 2023
Certification date
Apr 30, 2024
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

2423 W March Ln Ste 200
Stockton, CA 95207-8250

Phone 650-866-4080

Mailing address

2423 W March Ln Ste 200
Stockton, CA 95207-8250

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