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Individual

KIMBERLY QUINTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11837 VALHALLA WOODS DR, RIVERVIEW, FL 33579-9346
(720) 296-9475
Mailing address
11837 VALHALLA WOODS DR, RIVERVIEW, FL 33579-9346
(720) 296-9475

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
08/03/2021
Last updated
08/03/2021
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