Individual
MRS. AMBER KAY QUILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22671 FM 15, TROUP, TX 75789-6221
(903) 504-8911
Mailing address
22671 FM 15, TROUP, TX 75789-6221
(903) 504-8911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
824250
TX
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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