Provider Demographics
NPI:1467824276
Name:NARVAEZ, MAYREL
Entity Type:Individual
Prefix:
First Name:MAYREL
Middle Name:
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50280 VALDERAMA LN
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-5542
Mailing Address - Country:US
Mailing Address - Phone:586-383-4533
Mailing Address - Fax:
Practice Address - Street 1:50280 VALDERAMA LN
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-5542
Practice Address - Country:US
Practice Address - Phone:586-383-4533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other