Provider Demographics
NPI:1992248876
Name:PINON, MARLEYNA
Entity type:Individual
Prefix:
First Name:MARLEYNA
Middle Name:
Last Name:PINON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4357 N RIO CANCION
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-7172
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2610 MILWAUKEE AVE
Practice Address - Street 2:APT. 14H
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-1550
Practice Address - Country:US
Practice Address - Phone:847-846-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program