Provider Demographics
NPI:1982423935
Name:MARQUIS, MARIENOELLE (NTP)
Entity type:Individual
Prefix:
First Name:MARIENOELLE
Middle Name:
Last Name:MARQUIS
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 GRAND AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-6181
Mailing Address - Country:US
Mailing Address - Phone:310-692-0732
Mailing Address - Fax:
Practice Address - Street 1:218 GRAND AVE APT 302
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-6181
Practice Address - Country:US
Practice Address - Phone:310-692-0732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach