Individual
JENNIFER MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BEACON ST STE 8-WEST, BROOKLINE, MA 02446-5587
(617) 855-7288
Mailing address
7 SADDLEBACK RD, LONDONDERRY, NH 03053-3096
(603) 965-6063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3678
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PA7752
MA
Other
Enumeration date
01/14/2017
Last updated
08/22/2021
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