Individual
GAYLE G MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 955-1540
(951) 955-1610
Mailing address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 955-1540
(951) 955-1610
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
03/24/2025
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