Individual
ELISA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1325 NORTHWESTERN DR APT 5105, EL PASO, TX 79912-8031
(915) 275-6533
Mailing address
1325 NORTHWESTERN DR APT 5105, EL PASO, TX 79912-8031
(915) 275-6533
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN-21920
NM
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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