Individual
TARA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
BRIGHAM YOUNG UNIVERSITY SPORTS MEDICINE 123 SAB, PROVO, UT 84602
(801) 422-1549
Mailing address
533 E 550 S, OREM, UT 84097-6450
(801) 380-6788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
UT
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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