MEDICARE: JESSIE 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
1	225400000X	Rehabilitation Practitioner
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1164715249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSIE MARQUEZ

Provider Business Mailing Address
First Line	:	4335 CHINA SILK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-2629
Country	:	US
Telephone Number	:	702-534-8737
Fax Number	:

Provider Business Practice Location Address
First Line	:	4335 CHINA SILK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-2629
Country	:	US
Telephone Number	:	702-534-8737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2011
Last Update Date	:	07/31/2020

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Directions to “ JESSIE MARQUEZ ” Practice Location

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