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NPI Code Detail

MEDICARE: DENISE QUINTERO

MEDICARE: DENISE QUINTERO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLPL4034AZ

General Provider Information

NPI Number : 1760532352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE QUINTERO
Provider Business Mailing Address
First Line : 6424 W BRANHAM LN
Second Line :
City : LAVEEN
State : AZ
Zip : 85339-2785
Country : US
Telephone Number : 480-203-8793
Fax Number :
Provider Business Practice Location Address
First Line : 16428 E KINGSTREE BLVD
Second Line :
City : FOUNTAIN HILLS
State : AZ
Zip : 85268-5440
Country : US
Telephone Number : 480-837-4565
Fax Number : 480-836-1992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 02/12/2008

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Directions to “ DENISE QUINTERO ” Practice Location

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