Female

Jamila N. Mainor M.D.

Family Medicine Physician in Lake Stevens, WA(View on Map)

Full Name

Jamila Nia Mainor M.D.

NPI Number

1508052754

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/21/2007

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Missouri
Washington

License Number

ME126189
2010003245
MD61215438

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 5127
8910 VERNON RD

City

Everett
Lake Stevens

State

WA
WA

Postal Code

98206-5127
98258-2400

Country

US
US

Telephone Number

(425) 397-1704
(425) 397-1704

Identifiers

Identifier

2210571

Identifier State

WA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/29/2022

Provider Address

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