Individual
JAMIE DALTON MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
975 RYLAND ST STE 100, RENO, NV 89502-1669
(775) 982-5000
(775) 982-5225
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1759
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1759
STATE LICENSE
NV
Enumeration date
03/12/2014
Last updated
09/23/2024
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