Individual
CARLOS IVAN QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
12949 EASTBROOK DR APT 353, EL PASO, TX 79938-5537
(714) 269-5241
Mailing address
12949 EASTBROOK DR APT 353, EL PASO, TX 79938-5537
(714) 269-5241
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342775
TX
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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