| NPI | 1134108210 |
|---|---|
| Other Name | MARIE B JEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 1749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102201186) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2013-02-27 |