Healthcare Provider Details
I. General information
NPI: 1740169622
Provider Name (Legal Business Name): MARIN CREATES DBA ENTERPRISE RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3270 KERNER BLVD STE C
SAN RAFAEL CA
94901-4840
US
IV. Provider business mailing address
3270 KERNER BLVD STE C
SAN RAFAEL CA
94901-4840
US
V. Phone/Fax
- Phone: 154-574-5544
- Fax:
- Phone: 415-457-4554
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
CARTER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 415-457-4554