Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT23735 | CA |
NPI | 1023215084 |
---|---|
Provider Name | Nanci Haruko Quinones Clifford |
First Address | San Diego, CA 92106-9210 |
Second Address | San Diego, CA 92173-0000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 08/07/2007 |