Individual
MR. DAVID RANDALL MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
128 E G ST STE 111, COLTON, CA 92324-2943
(909) 430-0923
(909) 430-0923
Mailing address
128 E G ST STE 111, COLTON, CA 92324-2943
(909) 430-0923
(909) 430-0923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
360068AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360068AN
MEDICAL
CA
Enumeration date
04/21/2008
Last updated
04/21/2008
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