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Individual

JENNIFER CATHERINE QUILTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
(757) 395-6280
Mailing address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
(757) 395-6280

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102202788
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116019909
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891957312
VA
Enumeration date
06/26/2008
Last updated
04/17/2024
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