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Yadira Jazime Marquez

NPI Registration Record

Provider / OrganizationNPIDate Certified
YADIRA JAZIME MARQUEZ18711029622020-07-24
Entity TypeIndividual
Provider Name Yadira Jazime Marquez
Practice Office Address1880 FAIRWAY DR
SAN LEANDRO, CA US
Practice Office Telephone9167293098
Mailing Address1880 FAIRWAY DR
SAN LEANDRO, CA 945775629 US
HPT Codes
CodeLicense NoState
106S00000X PRIMARY
OPI Codes

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