Provider Demographics
NPI:1952673634
Name:NARAYADU, JANINE MARYNA (RMP)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:MARYNA
Last Name:NARAYADU
Suffix:
Gender:F
Credentials:RMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8611 BELLS MILL RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4280
Mailing Address - Country:US
Mailing Address - Phone:240-482-7851
Mailing Address - Fax:
Practice Address - Street 1:4829 WEST LN
Practice Address - Street 2:4708 BETHESDA AVENUE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5317
Practice Address - Country:US
Practice Address - Phone:240-482-7851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD592905-10225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist