Individual
JENNELLE MARCEREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
10514 60TH AVE W, MUKILTEO, WA 98275-4676
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OP00001935
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8405672
—
WA
Enumeration date
05/17/2006
Last updated
02/07/2013
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