MARQUEZ WILLIS GIBSON

UKIAH, CA
NPI1134785249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-05-14
Last Update Date2023-12-05
Business Address
MARQUEZ WILLIS GIBSON
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
Mailing Address
MARQUEZ WILLIS GIBSON
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
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