Mary Beena Mammen

NPI #1134615834 in Kokomo, Indiana

Provider Information

NPI Number
1134615834
Entity Type
Individual
Name
Mary Beena Mammen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 5, 2018
Last Updated
Jul 5, 2018

Practice Location

Address
3505 S REED RD
City
Kokomo
State
Indiana
ZIP Code
46902-3838
Phone
(765) 453-8666

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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