Individual
MS. JERETHA NA MARBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S MCPHERSON CHURCH RD STE 202D, FAYETTEVILLE, NC 28303-4974
(253) 376-6503
Mailing address
PO BOX 71320, JERETHA MARBURY, FPO, AA 28307-1320
(253) 376-6503
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
WA
171M00000X
Case Manager/Care Coordinator
—
NC
171R00000X
Interpreter
—
—
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
—
NC
172V00000X
Community Health Worker
—
NC
1744R1102X
Research Study Specialist
—
NC
373H00000X
Day Training/Habilitation Specialist
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346613387
—
NC
Enumeration date
03/30/2016
Last updated
03/30/2016
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