Individual
MR. JUAN MANUEL MARROQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
4416 PAREDES LINE RD, BROWNSVILLE, TX 78526-1114
(956) 986-2995
(956) 986-2996
Mailing address
4416 PAREDES LINE RD, BROWNSVILLE, TX 78526-1114
(956) 986-2995
(956) 986-2996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
43539
TX
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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