Individual
FLORENTINA MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 S ARIZONA AVE, YUMA, AZ 85364-7332
(928) 341-4300
Mailing address
3250 E 40TH ST, YUMA, AZ 85365-7748
(928) 341-0335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11701
AZ
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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