Individual
MARIYIAMA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 WATER STONE CIR, JOLIET, IL 60431-8313
(815) 740-4104
Mailing address
250 WATER STONE CIR, JOLIET, IL 60431-8313
(815) 740-4104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025039
IL
Other
Enumeration date
08/01/2022
Last updated
07/07/2025
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