Individual
PAUL ANTHONY MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
511 AMIGOS DR, REDLANDS, CA 92373-6283
(909) 793-8259
Mailing address
11383 MAR EL ST, MORENO VALLEY, CA 92555-1402
(951) 660-7965
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
144327
CA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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