Individual
MRS. JENNIFER KAY MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20407 MAUER ST, SAINT CLAIR SHORES, MI 48080-3789
(586) 201-0643
Mailing address
20407 MAUER ST, SAINT CLAIR SHORES, MI 48080-3789
(586) 201-0643
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704270472
MI
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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