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VICTORIA MARQUEZ
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1285303057
Individual Registrant: VICTORIA MARQUEZ
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
25220 FAVOLOSO CT STEVENSON RANCH, CA 91381-2002 US
Tel: 818-232-2651 Fax: --
Tel: 818-232-2651 Fax: --
Contact information for business:
25220 FAVOLOSO CT STEVENSON RANCH, CA 91381-2002 US
Tel: 818-232-2651 Fax: --
Tel: 818-232-2651 Fax: --
Registration Information:
NPI: 1285303057
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95019257 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
