Individual
MRS. GLADYS QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12949 EASTBROOK DR APT 353, EL PASO, TX 79938-5537
(256) 706-1192
Mailing address
12949 EASTBROOK DR APT 353, EL PASO, TX 79938-5537
(256) 706-1192
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342834
TX
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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