NPI 1134837446

Marissa Jenkins, SFIDC

Practitioner Independent Duty Corpsman Coraopolis, PA

Practice location

Address: 504 Meade Dr, Coraopolis, PA 15108-9639
Phone: (412) 715-5590

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1134837446
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2022
Record last updated: 7 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.