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Individual

QUINTELLA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14933 GRANT ST, DOLTON, IL 60419-2659
(708) 612-7238
Mailing address
14933 GRANT ST, DOLTON, IL 60419-2659
(708) 612-7238

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
DNA
IL

Other

Enumeration date
09/13/2018
Last updated
09/13/2018
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