Individual
DR. JACQUELINE O QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4758 LONGVIEW RUN, DECATUR, GA 30035-6001
(332) 331-2739
Mailing address
4758 LONGVIEW RUN, DECATUR, GA 30035-6001
(332) 331-2739
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
06651
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD001467
GA
213ES0131X
Foot Surgery Podiatrist
06651
NY
Other
Enumeration date
11/17/2014
Last updated
05/02/2022
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