Individual
VICKY MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241-4917
(562) 904-5000
(562) 904-5140
Mailing address
1119 NEATHERLY CIR, CORONA, CA 92878-3640
(562) 413-0531
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95028684
CA
Other
Enumeration date
02/22/2024
Last updated
08/09/2024
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