Individual
CAMILLA LOUISE MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 W ALLUVIAL AVE, FRESNO, CA 93711-5507
(559) 438-1777
(559) 432-4533
Mailing address
650 W ALLUVIAL AVE, FRESNO, CA 93711-5507
(559) 438-1777
(559) 432-4533
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A75634
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A75634
CA STATE LIC NUMBER
CA
Enumeration date
08/09/2005
Last updated
01/27/2023
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