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Blaze Jims Mammen
NPI 1053775379 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2035 W Mcdermott Dr Ste 460
Allen, TX 75013 - Phone
- (214) 289-6159
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas