Individual
MARQUEZ EAGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4345 CORPORATE CENTER DR STE 204, NORTH LAS VEGAS, NV 89030-7551
(702) 643-1381
Mailing address
4345 CORPORATE CENTER DR, NORTH LAS VEGAS, NV 89030-7550
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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