NPI | 1982067401 |
---|---|
Former Legal Business Name | J QUINTERO PODIATRY, PLLC |
Entity Type | Organization |
Authorized Contact | JACQUELINE O QUINTERO Physician/Owner 332-331-2739 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006651) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2023-09-06 |