Healthcare Provider Details

I. General information

NPI: 1003060708
Provider Name (Legal Business Name): NORMA VILORIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MR. CLARO MARQUEZ JR.

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 11/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7045 N CHESTNUT AVE # D
FRESNO CA
93720-0354
US

IV. Provider business mailing address

7045 N CHESTNUT AVE # D
FRESNO CA
93720-0354
US

V. Phone/Fax

Practice location:
  • Phone: 559-292-4190
  • Fax:
Mailing address:
  • Phone: 559-292-4190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number08-121550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: