Individual
ANA-ALICIA MARQUEZ FAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 SPRUCE ST, GRIDLEY, CA 95948-2215
(530) 846-5655
Mailing address
PO BOX 846, BIGGS, CA 95917-0846
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95015069
CA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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