Individual
ANNALYSE R QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11019 CANYON RD E STE A, PUYALLUP, WA 98373-3001
(253) 537-0293
(253) 537-7650
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(253) 537-0293
(253) 537-7650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60961615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157581
—
WA
Enumeration date
04/21/2017
Last updated
09/11/2020
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