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Jamie Mirielle Martin

Student in an Organized Health Care Education/Training Program in Worcester, MA. Individual provider (NPI-1).

NPI number1669923660
StatusActive
Last updated in NPPESOct 14, 2016

Details

NPI
1669923660
Entity type
Individual (NPI-1)
Name
Jamie Mirielle Martin
Sex
Female
Sole proprietor
No
Enumeration date
Oct 14, 2016
Last updated
Oct 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

275 Belmont St
Worcester, MA 01604-1675

Phone 508-791-3261

Mailing address

215 Massachusetts Ave
Apt 48
Arlington, MA 02474-8607

Phone 339-223-5042

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