Jamie Blake Maxwell M.S., IMF

NPI 1073877684 - Counselor - 101YM0800X

NPI Details
NPI 1073877684
Gender Female
Enumeration Date 06/28/2012
Last Updated 08/07/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
2495 W MARCH LN
SUITE 125
STOCKTON CA, 95207-8251, US
Phone (209) 465-1080
Fax
Business Location
PO BOX 2773
SACRAMENTO CA, 95812-2773, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number IMF71215
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According to our database, Ms. Jamie Blake Maxwell M.S., IMF NPI is 1073877684, taxonomy code is 101YM0800X and license number is IMF71215, license state is located at California. Jamie Blake Maxwell M.S., IMF physically located at 2495 W March Ln, Stockton CA, 95207-8251. NPI Number Jamie Blake Maxwell M.S., IMF has the Individual type.

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1073877684 NPI number is provided on an as is basis without warranty of any kind. 1073877684 is maintained by the National Plan & Provider Enumeration System. The contents of Jamie Blake Maxwell M.S., IMF are for informational purposes only.