Individual
MRS. DESIRE MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 N RONALD REAGAN BLVD, LONGWOOD, FL 32750-3534
(407) 215-0095
(321) 639-1194
Mailing address
4484 SW GAINSBORO ST, PORT ST LUCIE, FL 34953-6547
(723) 619-0427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
09/18/2024
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