Individual
QUINTA OKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5395 AUTUMN OAK DR, MIDDLETOWN, OH 45044-5091
(301) 760-9380
Mailing address
5395 AUTUMN OAK DR, MIDDLETOWN, OH 45044-5091
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
144466
OH
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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