DESMOND JACOB MARROQUIN

SHAW AFB, SC
NPI1003585399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2021-09-09
Last Update Date2024-11-26
Business Address
DESMOND JACOB MARROQUIN
420 POLIFKA DR
SHAW AFB, SC 29152-5100
Phone number: 803-885-0249
Mailing Address
DESMOND JACOB MARROQUIN
420 POLIFKA DR
SHAW AFB, SC 29152-5100
Phone number: 803-885-0249