Provider Demographics
NPI:1366266843
Name:VIZZINI, QUINTESSA
Entity type:Individual
Prefix:MS
First Name:QUINTESSA
Middle Name:
Last Name:VIZZINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 MARKET AVE N APT C3
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-2243
Mailing Address - Country:US
Mailing Address - Phone:330-550-1488
Mailing Address - Fax:
Practice Address - Street 1:1950 MARKET AVE N APT C3
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44714-2243
Practice Address - Country:US
Practice Address - Phone:330-550-1488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide