Provider Demographics
NPI:1932407269
Name:QUIRINMAI, DARLENE JOYCE (CR)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:JOYCE
Last Name:QUIRINMAI
Suffix:
Gender:F
Credentials:CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 N MAIN ST
Mailing Address - Street 2:UNIT 123
Mailing Address - City:HAILEY
Mailing Address - State:ID
Mailing Address - Zip Code:83333-8410
Mailing Address - Country:US
Mailing Address - Phone:208-471-5143
Mailing Address - Fax:
Practice Address - Street 1:131 N MAIN ST
Practice Address - Street 2:UNIT 123
Practice Address - City:HAILEY
Practice Address - State:ID
Practice Address - Zip Code:83333-8410
Practice Address - Country:US
Practice Address - Phone:208-471-5143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2013-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist