Jessica Lee Marquez, MD
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1972307809
StatusActive
Last updated in NPPESApr 1, 2025
Details
- NPI
- 1972307809
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lee Marquez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2025
- Certification date
- Apr 1, 2025
- Last updated
- Apr 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
50 N Medical Dr # 15Salt Lake City, UT 84132-0001
Phone 801-581-7719
Mailing address
50 N Medical Dr # 15Salt Lake City, UT 84132-0001
Phone 801-581-7719
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