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Individual

BERLIN MARROQUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BD, PPD,NCS, LE

Contact information

Practice address
622 1/2 W 120TH ST, LOS ANGELES, CA 90044-3903
(213) 249-8385
Mailing address
622 1/2 W 120TH ST, LOS ANGELES, CA 90044-3903
(213) 249-8385

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
08/06/2025
Last updated
08/06/2025
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