Provider Demographics
NPI:1851705008
Name:MARQUIS, KARA (LICAC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MARQUIS
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 CARTER HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03303
Mailing Address - Country:US
Mailing Address - Phone:603-475-0868
Mailing Address - Fax:
Practice Address - Street 1:142 MAIN ST RM 301
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2798
Practice Address - Country:US
Practice Address - Phone:603-475-0868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH223171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist