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Contact Information

THEODORA MCQUEEN
470 SILVERWOOD AVE APT D
UPLAND, CA91786-5111
 Phone: 951-800-3738
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for THEODORA MCQUEEN · (Female)

NPI Number 1083008387
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2015
Last updated 03/09/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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