Individual
TATIHANA QUINTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12965 DEXTER ST, THORNTON, CO 80241-2203
(720) 401-2896
Mailing address
12965 DEXTER ST, THORNTON, CO 80241-2203
(720) 401-2896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1658470
CO
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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