Individual
LEILA ACTUB QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(626) 375-5548
Mailing address
10623 SNOW LAKE ST, LAS VEGAS, NV 89179-1418
(626) 375-5548
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
454343
CA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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