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NPI Code Detail

MEDICARE: CONNIE GERMAN-MARQUEZ MFT

MEDICARE:   CONNIE  GERMAN-MARQUEZ  MFT
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
1106H00000XMarriage & Family Therapist46359CA

General Provider Information

NPI Number : 1326176728
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE GERMAN-MARQUEZ MFT
Provider Business Mailing Address
First Line : 1250 MORENA BLVD
Second Line : 2ND FLOOR
City : SAN DIEGO
State : CA
Zip : 92110-3815
Country : US
Telephone Number : 619-692-8708
Fax Number : 619-542-4969
Provider Business Practice Location Address
First Line : 1250 MORENA BLVD
Second Line : 2ND FLOOR
City : SAN DIEGO
State : CA
Zip : 92110-3815
Country : US
Telephone Number : 619-692-8708
Fax Number : 619-542-4969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 08/03/2011

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Directions to “ CONNIE GERMAN-MARQUEZ MFT” Practice Location

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