Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desmond Jacob Marroquin

Individual provider Independent Duty Medical Technicians · NPI 1003585399

Desmond Jacob Marroquin is an Independent Duty Medical Technicians in Shaw AFB, South Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

420 Polifka Dr
Shaw AFB, SC 29152-5100
Phone: (803) 885-0249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1003585399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

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