Individual
COURTNEY MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24785 STEWART ST, EVANS HALL ROOM 201, LOMA LINDA, CA 92350-1721
(909) 558-7295
Mailing address
24785 STEWART ST, EVANS HALL ROOM 201, LOMA LINDA, CA 92350-1721
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52178
CA
Other
Enumeration date
04/12/2015
Last updated
12/26/2018
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