Most Relevant Information
Provider Data
| NPI Number: | 1003248618 |
| Provider Name: | MIA QUINTANILLA |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | RN162572 |
Most Important Dates
| Enumeration Date: | 08/06/2013 |
| Last Updated: | 08/06/2013 |
Provider Practice Location
500 W GUADALUPE RD
TEMPE
AZ
852833599
Practice Location Phone/Fax
| Phone: | 4807528673 |
| Fax: |
Provider Mailing Location
500 W GUADALUPE RD
TEMPE
AZ
852833599
Provider Mailing Phone/Fax
| Phone: | 4807528673 |
| Fax: |