Individual
DANETTE QUINTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 CHAMISA RD, TAOS, NM 87571-5026
(575) 770-6795
Mailing address
PO BOX 3031, RANCHOS DE TAOS, NM 87557-3031
(575) 770-6195
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R57782
NM
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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