Individual
MRS. ZONDRA M QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53788 CANVASBACK TRCE, GRANGER, IN 46530-5861
(574) 675-0538
Mailing address
53788 CANVASBACK TRCE, GRANGER, IN 46530-5861
(574) 675-0538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900249
IN
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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