Individual
GERALD QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
811 PASEO DEL PUEBLO SUR, TAOS, NM 87571
(505) 758-4224
Mailing address
811 PASEO DEL PUEBLO S, TAOS, NM 87571-6434
(575) 758-1704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4057
NM
Other
Enumeration date
11/11/2005
Last updated
10/04/2010
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