MRS. Vivian Manduca-Marquez, A.P., D.O.M.

NPI #1225095284 in Jacksonville, North Carolina

Provider Information

NPI Number: 1225095284
Entity Type: Individual
Name: MRS. Vivian Manduca-Marquez, A.P., D.O.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: A.P., D.O.M.
Enumeration Date: Apr 26, 2006
Last Updated: Jan 12, 2011

Practice Location

Address: 215 WESTERN BLVD STE 300
City: Jacksonville
State: North Carolina
ZIP Code: 28546-5732
Phone: (910) 989-0002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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