Individual
ADRIANA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
980 N HIGH ST, LAKEPORT, CA 95453-4346
(707) 349-6262
Mailing address
980 N HIGH ST, LAKEPORT, CA 95453-4346
(707) 349-6262
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
721
CA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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