Individual
MISS ALBA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4258 TELEGRAPH RD, VENTURA, CA 93003-3706
(805) 477-5700
Mailing address
238 CAMPODONICO AVE, GUADALUPE, CA 93434-1502
(805) 720-1645
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2019
Last updated
04/21/2025
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