Individual
DELIA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616
(000) 000-0000
Mailing address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
2694549
CA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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