Provider Demographics
NPI:1871034322
Name:MARINA, JA'MIERE
Entity Type:Individual
Prefix:
First Name:JA'MIERE
Middle Name:
Last Name:MARINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8450 CAMBRIDGE ST
Mailing Address - Street 2:APT. 1239
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3969
Mailing Address - Country:US
Mailing Address - Phone:205-886-2890
Mailing Address - Fax:
Practice Address - Street 1:8450 CAMBRIDGE ST
Practice Address - Street 2:APT. 1239
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3969
Practice Address - Country:US
Practice Address - Phone:205-886-2890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer