Provider Demographics
NPI:1902252786
Name:MURRAY, JAROBI JERMAINE
Entity type:Individual
Prefix:
First Name:JAROBI
Middle Name:JERMAINE
Last Name:MURRAY
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 1:4008 BYERS ST
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-5722
Mailing Address - Country:US
Mailing Address - Phone:301-213-3332
Mailing Address - Fax:
Practice Address - Street 1:4008 BYERS ST
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-5722
Practice Address - Country:US
Practice Address - Phone:301-213-3332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education