Organization
MARJAMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M MARJAMA LYONS M.D. (OWNER)
(505) 797-3771
Entity
Organization
Contact information
Practice address
7000 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4313
(505) 797-3771
Mailing address
PO BOX 94390, ALBUQUERQUE, NM 87199-4390
(505) 797-3771
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
94-319
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18879
—
NM
Enumeration date
09/28/2006
Last updated
02/24/2012
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