Most Relevant Information
Provider Data
| NPI Number: | 1003374810 |
| Provider Name: | NALLELY GUADALUPE MARQUEZ ZAPATA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2019 |
| Last Updated: | 03/11/2019 |
Provider Practice Location
424 PENINSULA AVE
SAN MATEO
CA
944011653
Practice Location Phone/Fax
| Phone: | 6502864396 |
| Fax: |
Provider Mailing Location
3066 WILLOW PASS RD APT 15
CONCORD
CA
945192572
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |