Individual
MARTINE SHANTELLE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 NEWTON CONEHATTA RD, NEWTON, MS 39345-9780
(267) 357-1808
Mailing address
616 NEWTON CONEHATTA RD, NEWTON, MS 39345-9780
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
904915
MS
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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