Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1043540420 |
---|---|
Provider Name | Jocelyn Marquez |
First Address | Oceanside, CA 92054-6260 |
Second Address | San Diego, CA 92123-1954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2010 |
Last Update Date | 11/03/2011 |