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Quincy Mccullough
NPI 1184223943 · on the registry since 2020 · sole proprietor
Practice
- Address
- 15693 Choctaw St
Victorville, CA 92395 - Phone
- (442) 229-2100
- Fax
- (442) 229-2100
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California