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NPI Code Detail

MEDICARE: JA'MIERE MARINA

MEDICARE:   JA'MIERE  MARINA
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1871034322
Entity Type Code : Individual
Provider Name (Legal Business Name) : JA'MIERE MARINA
Provider Business Mailing Address
First Line : 8450 CAMBRIDGE ST
Second Line : APT. 1239
City : HOUSTON
State : TX
Zip : 77054-3969
Country : US
Telephone Number : 205-886-2890
Fax Number :
Provider Business Practice Location Address
First Line : 8450 CAMBRIDGE ST
Second Line : APT. 1239
City : HOUSTON
State : TX
Zip : 77054-3969
Country : US
Telephone Number : 205-886-2890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2017
Last Update Date : 03/16/2017

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Directions to “ JA'MIERE MARINA ” Practice Location

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