Individual
MRS. MEGHAN LYNN QUINTANILLA
Active
Individual
MRS. MEGHAN LYNN QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
001416
CT
363A00000X
Physician Assistant
001416
CT
363AM0700X
Medical Physician Assistant
Primary
001416
CT
Other
Enumeration date
11/14/2005
Last updated
02/19/2015
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