Individual
CARLOS MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
12353 IMPERIAL HWY, NORWALK, CA 90650-8305
(562) 484-3385
(562) 484-0269
Mailing address
12353 IMPERIAL HWY, NORWALK, CA 90650-8305
(562) 484-3385
(562) 484-0269
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
243250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512013461
—
CA
Enumeration date
09/03/2009
Last updated
09/03/2009
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