Individual
DANIELA MARQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 CITY AVE STE 528, PHILADELPHIA, PA 19131-1635
(866) 453-8800
Mailing address
803 W ADALEE ST, TAMPA, FL 33603-5401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA005335
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2019
Last updated
11/05/2020
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