Desmond Jacob Marroquin
NPI #1003585399 in Shaw Afb, South Carolina
Provider Information
- NPI Number
- 1003585399
- Entity Type
- Individual
- Name
- Desmond Jacob Marroquin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Nov 26, 2024
Practice Location
- Address
- 420 POLIFKA DR
- City
- Shaw Afb
- State
- South Carolina
- ZIP Code
- 29152-5100
- Phone
- (803) 885-0249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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