Provider Demographics
NPI:1316260961
Name:MARICH, JAYCIE (ATP)
Entity type:Individual
Prefix:MS
First Name:JAYCIE
Middle Name:
Last Name:MARICH
Suffix:
Gender:F
Credentials:ATP
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Other - Credentials:
Mailing Address - Street 1:16321 GOTHARD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3645
Mailing Address - Country:US
Mailing Address - Phone:714-596-9400
Mailing Address - Fax:714-596-9500
Practice Address - Street 1:16321 GOTHARD ST
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3645
Practice Address - Country:US
Practice Address - Phone:714-596-9400
Practice Address - Fax:714-596-9500
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-04-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment