Individual
MRS. ELIZABETH MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8686
(209) 468-2380
Mailing address
8728 GLACIER POINT DR, STOCKTON, CA 95212-3465
(209) 477-2601
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29518
CA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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