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NPI Code Detail

MEDICARE: SHEILA JENNIFER MARIN

MEDICARE: SHEILA JENNIFER MARIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN 250697CA

General Provider Information

NPI Number : 1396930939
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA JENNIFER MARIN
Provider Business Mailing Address
First Line : 1963 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2394
Country : US
Telephone Number : 619-233-3432
Fax Number :
Provider Business Practice Location Address
First Line : 1963 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2394
Country : US
Telephone Number : 619-233-3432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 07/27/2011

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Directions to “ SHEILA JENNIFER MARIN ” Practice Location

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