EASTFIELD MING QUONG

SANTA CRUZ, CA
NPI1093881112
Entity TypeOrganization
Authorized ContactKELLI WILLIAMSON
Clinical Program Manager
408-832-0832
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: CA  20903)
Enumeration Date2006-11-28
Last Update Date2020-08-22
Business Address
EASTFIELD MING QUONG
209 LEMOS AVE
SANTA CRUZ, CA 95060-5114
Phone number: 831-421-9918
Mailing Address
EASTFIELD MING QUONG
209 LEMOS AVE
SANTA CRUZ, CA 95060-5114
Phone number: 831-421-9918
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