Provider Demographics
NPI:1386122067
Name:MARAMBA PICKIE, JULIAN
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:MARAMBA PICKIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7997 WADE BLVD APT 619
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5291
Mailing Address - Country:US
Mailing Address - Phone:214-701-0133
Mailing Address - Fax:
Practice Address - Street 1:7997 WADE BLVD APT 619
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5291
Practice Address - Country:US
Practice Address - Phone:214-701-0133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care