Individual
MR. MARQUISE RAHEEM WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(352) 804-8836
Mailing address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(352) 804-8836
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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