Individual
IAN VIMAR QUINITIO QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
180 WHITE RD STE 201, LITTLE SILVER, NJ 07739-1166
(732) 383-7696
Mailing address
9 MULE RD STE E5, TOMS RIVER, NJ 08755-5052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15008300
NJ
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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