Individual
ADILENE QUINTANILLA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69930 CA -111, RANCHO MIRAGE, CA 92270
(760) 992-3039
Mailing address
91082 FUSHIA CT APT SUITE, MECCA, CA 92254-7004
(760) 992-4843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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