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NPI Code Detail

MEDICARE: RENEE MARQUEDANT

MEDICARE: RENEE MARQUEDANT
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
1183500000XPharmacist50280CA

General Provider Information

NPI Number : 1942694633
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE MARQUEDANT
Provider Business Mailing Address
First Line : 697 WOODLAND DR
Second Line :
City : SIERRA MADRE
State : CA
Zip : 91024-1445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19821 RINALDI ST
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4145
Country : US
Telephone Number : 818-832-6592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2015
Last Update Date : 03/20/2015

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Directions to “ RENEE MARQUEDANT ” 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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