Individual
DEZIRAY MARROQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 W RAMSEY ST STE B, BANNING, CA 92220-4477
(951) 807-1585
Mailing address
1330 W RAMSEY ST STE B, BANNING, CA 92220-4477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
09/25/2023
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