Individual
ANTONIO MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4255 CAMPUS DR STE A245, IRVINE, CA 92612-8630
(949) 502-0736
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115839
CA
Other
Enumeration date
10/08/2020
Last updated
08/23/2023
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