QUINTELLA JOHNSON

DOLTON, IL
NPI1164905378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: IL  DNA)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
QUINTELLA JOHNSON
14933 GRANT ST
DOLTON, IL 60419-2659
Phone number: 708-612-7238
Mailing Address
QUINTELLA JOHNSON
14933 GRANT ST
DOLTON, IL 60419-2659
Phone number: 708-612-7238