Individual
CHRISTOPHER J MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1840 GATOR BLVD, SEAL TEAM TWO BLDG 3841, NORFOLK, VA 23521
(757) 763-3311
Mailing address
4004 PLEASANT VALLEY RD, VIRGINIA BEACH, VA 23464-8822
(757) 971-2356
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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