Provider Demographics
NPI:1538487335
Name:WRIGHT, ALQURIN
Entity Type:Individual
Prefix:MR
First Name:ALQURIN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 ETIWANDA AVE APT 14202
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-8718
Mailing Address - Country:US
Mailing Address - Phone:619-581-4980
Mailing Address - Fax:
Practice Address - Street 1:7950 ETIWANDA AVE APT 14202
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-8718
Practice Address - Country:US
Practice Address - Phone:619-581-4980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor