Shannon Quiner

NPI #1699191684 in Provo, Utah

Provider Information

NPI Number: 1699191684
Entity Type: Individual
Name: Shannon Quiner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Mar 13, 2014
Last Updated: Mar 13, 2014

Practice Location

Address: 836 N 1375 W
City: Provo
State: Utah
ZIP Code: 84604-3049
Phone: (801) 375-2523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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