Individual
MR. MARK THOMAS QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
10212 5TH AVE NE, SUITE #116, SEATTLE, WA 98125-7452
(206) 525-4325
(206) 525-3775
Mailing address
10212 5TH AVE NE, SUITE #116, SEATTLE, WA 98125-7452
(206) 525-4325
(206) 525-3775
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010444
WA
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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