Individual
ANDREA SCARLET MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(877) 873-2762
Mailing address
5875 OLIVE AVE, RIALTO, CA 92377-3963
(909) 239-1118
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
35041108
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002064
CA
Other
Enumeration date
11/28/2022
Last updated
10/03/2023
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