Individual
AUDREY MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, LAT
Contact information
Practice address
14400 N TATUM BLVD, PHOENIX, AZ 85032-5531
(602) 332-2130
Mailing address
12057 W ROWEL RD, PEORIA, AZ 85383-5866
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1288
AZ
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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