Quentin R Shires M.S.

NPI 1255778973 - Counselor - 101YM0800X

NPI Details
NPI 1255778973
Gender Male
Enumeration Date 06/04/2013
Last Updated 06/04/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2001 W BLUE HERON BLVD
RIVIERA BEACH FL, 33404-5003, US
Phone (561) 841-3500
Fax (561) 844-3577
Business Location
2001 W BLUE HERON BLVD
RIVIERA BEACH FL, 33404-5003, US
Phone (561) 841-3500
Fax (561) 844-3577
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number IMH 10195
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According to our database, Mr. Quentin R Shires M.S. NPI is 1255778973, taxonomy code is 101YM0800X and license number is IMH 10195, license state is located at Florida. Quentin R Shires M.S. physically located at 2001 W Blue Heron Blvd, Riviera Beach FL, 33404-5003. NPI Number Quentin R Shires M.S. has the Individual type.

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1255778973 NPI number is provided on an as is basis without warranty of any kind. 1255778973 is maintained by the National Plan & Provider Enumeration System. The contents of Quentin R Shires M.S. are for informational purposes only.