Individual
KRYSTIN ANN MARQUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 W BENJAMIN HOLT DR APT 474, STOCKTON, CA 95219-3539
(209) 968-1598
Mailing address
3469 W BENJAMIN HOLT DR APT 474, STOCKTON, CA 95219-3539
(209) 968-1598
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PT37594
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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