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NPI Code Detail

MEDICARE: JONDA QUINTERO

MEDICARE: JONDA 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
1174H00000XHealth Educator5302NC

General Provider Information

NPI Number : 1346653706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONDA QUINTERO
Provider Business Mailing Address
First Line : 343 S 2ND AVE
Second Line :
City : SILER CITY
State : NC
Zip : 27344-3514
Country : US
Telephone Number : 765-969-2314
Fax Number :
Provider Business Practice Location Address
First Line : 900 W DOLPHIN ST
Second Line :
City : SILER CITY
State : NC
Zip : 27344-3711
Country : US
Telephone Number : 919-663-3431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2014
Last Update Date : 06/03/2014

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Directions to “ JONDA QUINTERO ” Practice Location

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