Individual provider · Type 1 NPI
Jessica Lidieth Mairena
Specialist · Ayden, NC
NPI number
1831825629
Active
Practice location
957 Allen Park Ln
Ayden, NC 28513-0300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1831825629
Jessica Lidieth Mairena's National Provider Identifier is 1831825629, issued on Jul 25, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ayden, NC. The record was last updated on Jul 25, 2022.