Individual
EZAK MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3427 4TH AVE, SAN DIEGO, CA 92103-4910
(619) 525-9903
Mailing address
3427 4TH AVE, SAN DIEGO, CA 92103-4910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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