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Julissa Quintero

Peer Specialist in Pasco, WA. Individual provider (NPI-1).

NPI number1164090965
StatusActive
Last updated in NPPESJun 16, 2021

Details

NPI
1164090965
Entity type
Individual (NPI-1)
Name
Julissa Quintero
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2021
Certification date
Jun 16, 2021
Last updated
Jun 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

2715 Saint Andrews Loop
Pasco, WA 99301-3386

Phone 509-575-4084

Mailing address

Po Box 959
Yakima, WA 98907-0959

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