Brian Quintanilla
Brian Quintanilla is a Student in an Organized Health Care Education/Training Program in Passaic, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
99 Elliot StPassaic, NJ 07055-5426
Phone: (973) 816-8776
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1326637646 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2021 |
| Last updated in NPPES | January 12, 2021 |
| Certification date | January 12, 2021 |
| Mailing address | 99 Elliot St, Passaic, NJ 07055-5426 |
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