Individual
MS. CIARA SHANTE QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7642 PINEDALE DR, COLUMBIA, SC 29223-4829
(803) 862-6677
Mailing address
7642 PINEDALE DR, COLUMBIA, SC 29223-4829
(803) 862-6677
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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