Individual
TRACI ANTIONETTE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2507 TEAROSE DR, VALPARAISO, IN 46383-5968
(219) 281-0834
Mailing address
804 MONROE ST, VALPARAISO, IN 46383-5809
(219) 281-0834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28143020A
IN
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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