Quintilla Rena Leddington PTA

NPI 1205098407 - Specialist - 174400000X

NPI Details
NPI 1205098407
Gender Female
Enumeration Date 06/28/2008
Last Updated 06/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3104 PINE TOP RD
LONDON KY, 40741-6202, US
Phone (606) 862-8333
Fax (606) 862-8618
Business Location
3104 PINE TOP RD
LONDON KY, 40741-6202, US
Phone (606) 862-8333
Fax (606) 862-8618
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number A02207
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According to our database, Mrs. Quintilla Rena Leddington PTA NPI is 1205098407, taxonomy code is 174400000X and license number is A02207, license state is located at Kentucky. Quintilla Rena Leddington PTA physically located at 3104 Pine Top Rd, London KY, 40741-6202. NPI Number Quintilla Rena Leddington PTA has the Individual type.

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1205098407 NPI number is provided on an as is basis without warranty of any kind. 1205098407 is maintained by the National Plan & Provider Enumeration System. The contents of Quintilla Rena Leddington PTA are for informational purposes only.