Individual
MARIE QUANTRILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6212 S MULLEN ST, TACOMA, WA 98409-1234
(509) 981-3903
Mailing address
6212 S MULLEN ST, TACOMA, WA 98409-1234
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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