Individual
KEILA YASMINE MARROQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 ELY ST, KENNETT, MO 63857-1336
(573) 717-1066
Mailing address
1201 ELY ST, KENNETT, MO 63857-1336
(573) 717-1066
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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