Healthcare Provider Details

I. General information

NPI: 1639209091
Provider Name (Legal Business Name): MRS. NORMA MARIBEL MARQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2621 OSWELL ST STE 119
BAKERSFIELD CA
93306-3172
US

IV. Provider business mailing address

PO BOX 1000
BAKERSFIELD CA
93302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-6750
  • Fax: 661-868-6752
Mailing address:
  • Phone: 661-868-6938
  • Fax: 661-868-6752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number72139
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: