Individual
ALICIA RENEE MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT I
Contact information
Practice address
225 BARSTOW RD, BARSTOW, CA 92311-2903
(760) 255-1083
Mailing address
225 BARSTOW RD, BARSTOW, CA 92311-2903
(760) 255-1083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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