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NPI Code Detail

MEDICARE: MS. YOLANDA DUQUE OTR/L

MEDICARE: MS. YOLANDA DUQUE OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist925CA

General Provider Information

NPI Number : 1881969087
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YOLANDA DUQUE OTR/L
Provider Business Mailing Address
First Line : 156 CASUDA CANYON DR
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91754-2235
Country : US
Telephone Number : 626-300-5854
Fax Number :
Provider Business Practice Location Address
First Line : 330 GOLDEN SHR
Second Line : SUITE 250
City : LONG BEACH
State : CA
Zip : 90802-4246
Country : US
Telephone Number : 562-256-7540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2012
Last Update Date : 03/20/2012

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Directions to “ MS. YOLANDA DUQUE OTR/L” Practice Location

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