Individual
MR. JONATHAN PAUL MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
10455 POMERADO RD, SAN DIEGO, CA 92131-1717
(956) 279-0039
Mailing address
7021 DRAPER AVE, LA JOLLA, CA 92037-5409
(956) 279-0039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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