Individual
DINA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 SAN ANGELO, SAN ANTONIO, TX 78212-1154
(210) 717-9904
Mailing address
139 SAN ANGELO, SAN ANTONIO, TX 78212-1154
(210) 717-9904
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230041
TX
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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