Individual
MARIAH MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 241-0846
Mailing address
330 S BOO RD, # 202, BURNS HARBOR, IN 46304-0019
(219) 241-0846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28192146A
IN
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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