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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DESMOND JACOB MARROQUIN

Active

DESMOND JACOB MARROQUIN is a Independent Duty Medical Technician healthcare provider located in SHAW AFB, South Carolina. NPI 1003585399 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · SHAW AFB, SC

Registration Details

NPI Number
1003585399
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2021 (4.8880771375821 yrs)
Last Updated
Nov 26, 2024

Practice Information

Address
420 POLIFKA DR
SHAW AFB, SC, 291525100
Browse SC providers · Browse ZIP 29152
Phone
8038850249
Primary Specialty
Independent Duty Medical Technician
1710I1003X

Other Independent Duty Medical Technician Providers in SHAW AFB, SC

Name Credential NPI
SCOTT B WYATT IDMT 1720337462
SIDONIA LEE ALO IDMT 1285068296
JESSICA A. POWNELL 1346670551
ERIC BLACK IDMT 1558025429
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.