Individual
DONNA R QUILES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
11019 CANYON RD E, PUYALLUP, WA 98373-3001
(253) 536-2972
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
RT0003190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7108061
—
WA
Enumeration date
06/15/2005
Last updated
07/08/2007
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