MICHAEL ALLAN QUAKENBUSH

LEMON GROVE, CA
NPI1205210044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-07-10
Last Update Date2015-07-10
Business Address
-- MICHAEL ALLAN QUAKENBUSH
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-442-0277
Mailing Address
-- MICHAEL ALLAN QUAKENBUSH
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-442-0277
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