Individual
NAYGIL MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3317 LANCELOT RD, PETERSBURG, VA 23805-1120
(804) 721-1642
Mailing address
19651 ENGLISH WELLS WAY APT 101, CHESTER, VA 23831-7868
(804) 721-1642
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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