GARY QUAN

SANTA CRUZ, CA
NPI1376722280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-26
Last Update Date2007-10-26
Business Address
-- GARY QUAN
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
Mailing Address
-- GARY QUAN
411 NORTHLAKE DR APT 5
SAN JOSE, CA 95117-1381
Phone number: 408-931-1111
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