Individual
MINDY LISA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3250 BEARD RD, NAPA, CA 94558-3406
(707) 224-7944
(707) 224-5220
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 948-8143
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A106559
CA
208800000X
Urology Physician
MD00045739
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209119
LABOR AND INDUSTRY
WA
05
—
8453318
—
WA
01
—
MD00045739
STATE LICENSE NUMBER
WA
01
—
P00340057
RAILROAD MEDICARE
WA
Enumeration date
06/05/2006
Last updated
09/15/2017
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