Individual
JAMIE MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15000 US 31, GRAND HAVEN, MI 49417-8881
(616) 847-8010
Mailing address
17836 148TH AVE, SPRING LAKE, MI 49456-9275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031423
MI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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