Provider Demographics
NPI:1386983989
Name:MARQUEZ, MARCELA
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 MALEENA MESA ST
Mailing Address - Street 2:APT. 223
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8122
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 MALEENA MESA ST
Practice Address - Street 2:APT. 223
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-8122
Practice Address - Country:US
Practice Address - Phone:323-308-5876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker