Individual
MR. JONNY A QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
3206-3208 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(786) 266-9661
Mailing address
3206-3208 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(786) 266-9661
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
01/08/2021
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