MARCUS QUINTANILLA

HURLBURT FIELD, FL
NPI1821541145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2016-08-03
Last Update Date2016-08-03
Business Address
-- MARCUS QUINTANILLA IDMT
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 850-881-5378
Mailing Address
-- MARCUS QUINTANILLA IDMT
428 SANDY RIDGE CIR
MARY ESTHER, FL 32569-2112
Phone number: 361-249-4488
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