Individual
MARK MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6389
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2015
Last updated
07/29/2016
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