Individual
DR. JEANA MARIE MARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 N HICKORY RD, SOUTH BEND, IN 46615-2280
(574) 233-5754
Mailing address
917 GLADEWOOD DR APT 1A, MISHAWAKA, IN 46544-8908
(269) 635-2752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012968A
IN
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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