Individual
TINISHA ROSE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W 1300 S, SALT LAKE CITY, UT 84115-5230
(801) 214-7686
Mailing address
120 W 1300 S, SALT LAKE CITY, UT 84115-5230
(801) 214-7686
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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