TARA J QUINTANA

ELLETTSVILLE, IN
NPI1952973182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  28202480A)
Enumeration Date2021-07-16
Last Update Date2023-05-16
Business Address
TARA J QUINTANA
5275 W COWDEN RD # 1052
ELLETTSVILLE, IN 47429-9325
Phone number: 930-333-1435
Mailing Address
TARA J QUINTANA
2815 E 3RD ST # 1052
BLOOMINGTON, IN 47401-5434
Phone number: 930-333-1435