Individual
TIRSA M QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
88
PR
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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