Provider Demographics
NPI:1922586346
Name:QUINONES, MARIA (CPM)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 CREEKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-2814
Mailing Address - Country:US
Mailing Address - Phone:678-480-5318
Mailing Address - Fax:
Practice Address - Street 1:3740 CREEKWOOD DR
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-2814
Practice Address - Country:US
Practice Address - Phone:678-480-5318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife