Individual
FERNANDO MARAVILLA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3605 BRAINERD RD, CHATTANOOGA, TN 37411-3602
(423) 622-7520
Mailing address
3605 BRAINERD RD, CHATTANOOGA, TN 37411-3602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20981
TN
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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