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Individual
MISS SANDRA ALEXANDRINA QUINTAL
Active
Individual
MISS SANDRA ALEXANDRINA QUINTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH NP, PSYCH CNS
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN205657
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
RN205657
MA
Other
Enumeration date
03/03/2009
Last updated
07/26/2016
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