Individual
JEFF QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
68540 UTE LN, MONTROSE, CO 81403-8712
(970) 249-0958
Mailing address
68540 UTE LN, MONTROSE, CO 81403-8712
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95408371
—
CO
Enumeration date
08/09/2016
Last updated
08/09/2016
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