CARLOS DANIEL QUINTANILLA

SAN RAFAEL, CA
NPI1780381491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
225400000X Rehabilitation Practitioner
Enumeration Date2023-02-13
Last Update Date2023-11-02
Business Address
CARLOS DANIEL QUINTANILLA
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903-2757
Phone number: 707-495-2938
Mailing Address
CARLOS DANIEL QUINTANILLA
1019 TRENTON BLVD
SAN PABLO, CA 94806-2895
Phone number: 510-260-3794