Provider Demographics
NPI:1477238558
Name:MARANON, JAIMEE THERESE (MS, NDTR)
Entity type:Individual
Prefix:
First Name:JAIMEE
Middle Name:THERESE
Last Name:MARANON
Suffix:
Gender:F
Credentials:MS, NDTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9624 GLEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4040
Mailing Address - Country:US
Mailing Address - Phone:775-338-5897
Mailing Address - Fax:
Practice Address - Street 1:9624 GLEN RIDGE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-4040
Practice Address - Country:US
Practice Address - Phone:775-338-5897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist