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Marium Janicke
Pediatric Registered Nurse in Tyler, Texas
NPI 1134748395

Marium Janicke is a Pediatric Registered Nurse based in Tyler, TX and is specialized in Pediatrics. Marium Janicke practices in Tyler, TX. The NPI Number for Marium Janicke is 1134748395 and holds a License No. 741938 (Texas).

The current practice location address for Marium Janicke is 212 Old Grande Blvd Ste A110, Tyler, TX and can be reached out via phone at 903-509-3742.

Location: 212 Old Grande Blvd Ste A110, Tyler, TX, 75703-4256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134748395
Provider Name
Marium Janicke
Credential
Provider Entity Type
Individual
Gender
Female
Address
212 Old Grande Blvd Ste A110, Tyler, TX, 75703-4256
Phone Number
903-509-3742
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 Old Grande Blvd Ste A110
City
Tyler
State
Texas
Zip
75703-4256
Phone Number
903-509-3742
Fax Number
person
Provider Business Mailing Address Details
Address
212 Old Grande Blvd Ste A110
City
Tyler
State
Texas
Zip
75703-4256
Phone Number
903-509-3742
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
741938 (Texas)
Definition
Definition to come...
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