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NPI Code Detail

MEDICARE: MS. DONNA MAYE MARQUEZ

MEDICARE: MS. DONNA MAYE MARQUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1063549137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA MAYE MARQUEZ
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6600
Fax Number : 661-868-6666
Provider Business Practice Location Address
First Line : 2151 COLLEGE AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-4172
Country : US
Telephone Number : 661-868-8123
Fax Number : 661-868-8188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/08/2007

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Directions to “ MS. DONNA MAYE MARQUEZ ” Practice Location

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