Individual
TATIANA MARROQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 LINCOLN PARK AVE, LOS ANGELES, CA 90031-3119
(323) 222-1440
Mailing address
2010 LINCOLN PARK AVE, LOS ANGELES, CA 90031-3119
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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