Individual
STEPHANIE MONIQUE QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 S CENTRAL ST, VISALIA, CA 93277-4418
(559) 471-4050
Mailing address
1840 S CENTRAL ST, VISALIA, CA 93277-4418
(559) 471-4050
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
03/11/2024
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