Individual
DR. JACQUELINE SUSANNE MARQUEZ-PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4161
Mailing address
5358 E BUTLER AVE, FRESNO, CA 93727-5265
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A90507
CA
Other
Enumeration date
06/11/2007
Last updated
02/11/2022
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