Provider Demographics
NPI:1144692195
Name:HSIEH, MICHELLE MARQUEZ (RPH)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARQUEZ
Last Name:HSIEH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 E ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-5329
Mailing Address - Country:US
Mailing Address - Phone:530-742-5103
Mailing Address - Fax:
Practice Address - Street 1:1141 PEAR TREE LN STE 250
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6445
Practice Address - Country:US
Practice Address - Phone:707-603-1333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69927183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist