Healthcare Provider Details

I. General information

NPI: 1477434140
Provider Name (Legal Business Name): QUNITINA R ETIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2318 SILVERBROOK LN APT 1706
ARLINGTON TX
76006-6172
US

IV. Provider business mailing address

2318 SILVERBROOK LN APT 1706
ARLINGTON TX
76006-6172
US

V. Phone/Fax

Practice location:
  • Phone: 318-828-0361
  • Fax:
Mailing address:
  • Phone: 318-828-0361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: