Provider Demographics
NPI:1467914473
Name:JEIHANI-MURUNGI, MARIAMA JAMILA (LMT, BCMTB, CMMP)
Entity Type:Individual
Prefix:MRS
First Name:MARIAMA
Middle Name:JAMILA
Last Name:JEIHANI-MURUNGI
Suffix:
Gender:F
Credentials:LMT, BCMTB, CMMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2304
Mailing Address - Country:US
Mailing Address - Phone:267-702-0792
Mailing Address - Fax:
Practice Address - Street 1:307 ESSEX ST
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-2304
Practice Address - Country:US
Practice Address - Phone:267-702-0792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG006500225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist