Individual
JENNIFER AYOUB MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-6864
Mailing address
530 HARLEYS COVE ROAD, WAYNESVILLE, NC 28785
(248) 372-1760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
336435
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
4704190081
MI
Other
Enumeration date
10/11/2006
Last updated
01/26/2024
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