Individual
QUINTA TAKEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 N MAIN ST, ENNIS, MT 59729-8001
(305) 494-4329
Mailing address
305 N MAIN ST, ENNIS, MT 59729-8001
(305) 494-4329
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
RN-117041
MT
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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