Individual
LOULU MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8135 PAINTER AVE, SUITE 200, WHITTIER, CA 90602
(562) 698-6600
Mailing address
16011 PLACID DR, WHITTIER, CA 90604-3950
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
3289
CA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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