Individual
MS. JESSICA ROSE-STULTS QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
111173
IA
Other
Enumeration date
09/12/2020
Last updated
06/15/2021
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