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Greg Baquiax

Student in an Organized Health Care Education/Training Program in San Mateo, CA. Individual provider (NPI-1).

NPI number1497399653
StatusActive
Last updated in NPPESJul 22, 2022

Details

NPI
1497399653
Entity type
Individual (NPI-1)
Name
Greg Baquiax
Sex
Male
Sole proprietor
No
Enumeration date
Oct 31, 2019
Certification date
Jul 22, 2022
Last updated
Jul 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
106S00000X Behavior Technician––

Practice location

225 37th Ave
San Mateo, CA 94403-4324

Phone 650-573-2222

Mailing address

225 37th Ave
San Mateo, CA 94403-4324

Phone 650-573-2222

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