Individual
JENNA BRE MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3373 KEARNY VILLA LN, SAN DIEGO, CA 92123-1911
(858) 336-2278
Mailing address
3373 KEARNY VILLA LANE, SAN DIEGO, CA 92123
(858) 336-2278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
233758
CA
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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