Individual
JENNIFER QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 BAY RIDGE BLVD, BAY CITY, TX 77414-8302
(979) 476-0856
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
315793
TX
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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