Individual
DR. LORETTA MARIE QUINNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
220 MALLARD AVE, HOUGHTON LAKE, MI 48629-9553
(989) 295-6759
Mailing address
220 MALLARD AVE, HOUGHTON LAKE, MI 48629-9553
(989) 295-6759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
JAT J00193
LA
Other
Enumeration date
04/18/2012
Last updated
07/08/2019
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