Individual
JOHNIECE R QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BASW
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 289-7958
Mailing address
4132 E ORANGEBURG AVE, MODESTO, CA 95355-9521
(209) 289-7958
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
05/15/2025
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