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NPI Code Detail

MEDICARE: IRIS ESQUILIN-MARSHALL

MEDICARE: IRIS ESQUILIN-MARSHALL
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1518574334
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRIS ESQUILIN-MARSHALL
Provider Business Mailing Address
First Line : 30 W PACHECO BLVD
Second Line :
City : LOS BANOS
State : CA
Zip : 93635-4041
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 W PACHECO BLVD
Second Line :
City : LOS BANOS
State : CA
Zip : 93635-4041
Country : US
Telephone Number : 209-342-7353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2020
Last Update Date : 09/25/2020

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Directions to “ IRIS ESQUILIN-MARSHALL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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