Heavenly Ruby Quintero, LMT

NPI #1225308539 in Haiku, Hawaii

Provider Information

NPI Number: 1225308539
Entity Type: Individual
Name: Heavenly Ruby Quintero, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Jan 3, 2012
Last Updated: Jan 3, 2012

Practice Location

Address: 390 KULIKE RD
City: Haiku
State: Hawaii
ZIP Code: 96708-5945
Phone: (808) 463-6477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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