Individual
ANDREW TIONGSON MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
7136 LAS PALMAS DR, FONTANA, CA 92336-2948
(909) 997-4137
Mailing address
7136 LAS PALMAS DR, FONTANA, CA 92336-2948
(909) 997-4137
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233226
CA
Other
Enumeration date
04/12/2019
Last updated
04/17/2019
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