Individual
JACQUELYN MAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1998 WEST MAIN RD, MIDDLETOWN, RI 02842
(559) 639-8474
Mailing address
1998 WEST MAIN RD, MIDDLETOWN, RI 02842
(559) 639-8474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2871
CA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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