Individual
JENEVA ANN MARMOLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3051 E UNIVERSITY BLVD, ODESSA, TX 79762-7902
(432) 362-4376
(432) 362-6308
Mailing address
4222 WENDOVER AVE STE 600, ODESSA, TX 79762-5983
(432) 552-5656
(432) 332-8011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09757
TX
Other
Enumeration date
03/13/2015
Last updated
10/28/2020
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