Individual
MRS. JESSICA MARIE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PBT
Contact information
Practice address
8101 SW 30TH ST, DAVIE, FL 33328-1905
(305) 495-4686
Mailing address
6250 SW 130TH AVE APT 706, MIAMI, FL 33183-5236
(305) 495-4686
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
10606-CPT11
FL
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
01/12/2012
Last updated
10/19/2023
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