Individual
QUINTENDA LVETT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
4038 STONEHENGE DR, SYLVANIA, OH 43560-3420
(502) 475-6231
Mailing address
4038 STONEHENGE DR, SYLVANIA, OH 43560-3420
(502) 475-6231
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PN-102215
OH
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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