Provider Demographics
NPI:1649077553
Name:CARLTON, QUANTESHA CHANTEL
Entity type:Individual
Prefix:
First Name:QUANTESHA
Middle Name:CHANTEL
Last Name:CARLTON
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 1:258 E CANAL ST APT C
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-1286
Mailing Address - Country:US
Mailing Address - Phone:330-401-7933
Mailing Address - Fax:
Practice Address - Street 1:258 E CANAL ST APT C
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-1286
Practice Address - Country:US
Practice Address - Phone:330-401-7933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant