Individual
GRACIELA MARROQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W YAKIMA AVE, YAKIMA, WA 98902-2834
(509) 910-5472
Mailing address
2501 W YAKIMA AVE, YAKIMA, WA 98902-2834
(509) 910-5472
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
SA60149735
WA
Other
Enumeration date
05/01/2007
Last updated
01/05/2011
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