Individual
JOSE ANTONIO MARQUEZ SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
10541 ARIANNE DR, STOCKTON, CA 95209-4378
(209) 390-1265
Mailing address
10541 ARIANNE DR, STOCKTON, CA 95209-4378
(209) 390-1265
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22699
CA
Other
Enumeration date
01/30/2013
Last updated
09/17/2014
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