Individual
RICHAEL JEAN MARQUEZ PANTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
1076 OLD 115, DALLAS, PA 18612-2808
(570) 855-5172
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN673789
PA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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