Individual
LEONARDO MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
829 MAIN ST APT 1, MANCHESTER, CT 06040-6024
(860) 712-3568
Mailing address
829 MAIN ST APT 1, MANCHESTER, CT 06040-6024
(860) 712-3568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02231122
CT
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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