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Individual

MRS. JOYCE MACHIN QUINTAVALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-P

Contact information

Practice address
501 STEMMERS RUN RD, BALTIMORE, MD 21221-3333
(410) 574-4397
(410) 574-4397
Mailing address
17326 BUSHLAND RD, PARKTON, MD 21120-9476
(410) 343-1503
(410) 343-1562

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RO41468
MD

Other

Enumeration date
10/23/2006
Last updated
07/08/2007
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