Individual
TY DANIELLE QUENTRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300B PRESTIGE PARK DR, HURRICANE, WV 25526-8419
(304) 202-3864
(304) 757-0522
Mailing address
300B PRESTIGE PARK DR, HURRICANE, WV 25526-8419
(304) 202-3864
(304) 757-0522
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39087
WV
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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