Individual
KEANDRA QUARTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 NE 8TH AVE APT A12, GAINESVILLE, FL 32641-4719
(305) 647-8028
Mailing address
1733 NE 8TH AVE APT A12, GAINESVILLE, FL 32641-4719
(305) 647-8028
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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