Provider Demographics
NPI:1659161347
Name:QUINTEROS, VERONICA JACQUELINE
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:JACQUELINE
Last Name:QUINTEROS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 VAN NESS ST NW APT 120
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1111
Mailing Address - Country:US
Mailing Address - Phone:202-658-0768
Mailing Address - Fax:
Practice Address - Street 1:616 EMERSON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4006
Practice Address - Country:US
Practice Address - Phone:202-840-0906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant