Individual
JOBRIL MARQUEZ SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 W BROADWAY, MONONA, WI 53713-3700
(608) 285-9101
Mailing address
409 N THOMPSON DR APT 1, MADISON, WI 53714-1737
(901) 600-8409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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