IAN VIMAR QUINITIO QUINTANILLA

LITTLE SILVER, NJ
NPI1851157390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ15008300)
Enumeration Date2024-02-22
Last Update Date2024-02-22
Business Address
IAN VIMAR QUINITIO QUINTANILLA APN
180 WHITE RD STE 201
LITTLE SILVER, NJ 07739-1166
Phone number: 732-383-7696
Mailing Address
IAN VIMAR QUINITIO QUINTANILLA APN
9 MULE RD STE E5
TOMS RIVER, NJ 08755-5052
Phone number: