Individual
MISS TRACY QUINTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 PARKMONT LN SW, SUITE C2, OLYMPIA, WA 98502-1164
(360) 753-0307
(360) 754-3674
Mailing address
2639 PARKMONT LN SW, SUITE C2, OLYMPIA, WA 98502-1164
(360) 753-0307
(360) 754-3674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00018084
WA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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