Individual
MARIA J QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN/LPN
Contact information
Practice address
450 S SUSAN CREEK DR, STONE MOUNTAIN, GA 30083-4426
(805) 212-0203
Mailing address
450 S SUSAN CREEK DR, STONE MOUNTAIN, GA 30083-4426
(805) 212-0203
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
293322
CA
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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