Individual
DONOVAN T QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 EAST 100 SOUTH, PRICE, UT 84501
(435) 637-2358
(435) 637-9141
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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