Individual
GISSELLE QUINTANILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 S 300 W, SALT LAKE CITY, UT 84101-1217
(801) 232-8465
Mailing address
5416 W MOUNT CONNESS PL, HERRIMAN, UT 84096-1412
(801) 232-8465
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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