Individual
AMALIA QUINTANILLA CAPAWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
NAVAL HOSPITAL ANNEX NH200, CAMP LEJEUNE, NC 28547
(910) 450-3171
(910) 450-4783
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-3171
(910) 450-4783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219900
NC
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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