Individual
KAYTLIN LARAE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 S YALE ST APT 5-2A, FLAGSTAFF, AZ 86001-6357
(480) 359-8460
Mailing address
1515 S YALE ST APT 5-2A, FLAGSTAFF, AZ 86001-6357
(480) 359-8460
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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