| Doctor Name: | CHARMIN MARIE QUINTANA |
| NPI Number: | 1013122894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AUD |
| License Number: | 4112 |
| Business Practice Address: | 1000 W 4th St Roswell, NM - 882013038 |
| Business Phone Number: | 5056238474 |
| Business Fax Number: | 5056238220 |
| Mailing Address: | 1000 W 4th St, ROSWELL |
| State: | NM |
| Postal Code: | 882013038 |
| Phone Number: | 5056238474 |
| Fax Number: | 5056238220 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 01/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 4112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |