Individual
KYLA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MS, PA-C
Contact information
Practice address
259 MACK AVE # 2590, DETROIT, MI 48201-2427
(313) 577-1716
Mailing address
259 MACK AVE # 2590, DETROIT, MI 48201-2427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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