Individual
JASMINE MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, IBCLC
Contact information
Practice address
3038 FLINT ST, UNION CITY, CA 94587-1625
(510) 305-1854
Mailing address
3038 FLINT ST, UNION CITY, CA 94587-1625
(510) 305-1854
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-110102
CA
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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