Sean Michael Qualls
Orthotic Fitter in Sacramento, CA. Individual provider (NPI-1).
NPI number1831978535
StatusActive
Last updated in NPPESSep 22, 2023
Details
- NPI
- 1831978535
- Entity type
- Individual (NPI-1)
- Name
- Sean Michael Qualls
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2023
- Certification date
- Sep 22, 2023
- Last updated
- Sep 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225000000X | Orthotic Fitter | C53905 | CA | Yes |
Practice location
3301 C StSacramento, CA 95816-3300
Phone 916-551-3203
Mailing address
8081 Langham WaySacramento, CA 95829-6071
Phone 916-513-2445
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Other Orthotic Fitter providers in Sacramento, CA
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- Michele A HicksNPI 1225227077
- Sandra WestNPI 1821287673
All 9 Orthotic Fitter providers in Sacramento · All 37,780 providers in Sacramento
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