ELAINE BONTJE QUINN

LAKE HAVASU CITY, AZ
NPI1710050786
Former NameELAINE MARIE BONTJE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  SLPL1715)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
Mrs. ELAINE BONTJE QUINN MA
2200 HAVASUPAI BLVD
LAKE HAVASU CITY, AZ 86403-3798
Phone number: 928-505-6911
Mailing Address
Mrs. ELAINE BONTJE QUINN MA
2200 HAVASUPAI BLVD
LAKE HAVASU CITY, AZ 86403-3798
Phone number: 928-505-6911