MRS. Jacqueline Wilson Martin

NPI #1073667226 in Reidsville, North Carolina

Provider Information

NPI Number
1073667226
Entity Type
Individual
Name
MRS. Jacqueline Wilson Martin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Lodging
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
538 WARRINER ST
ZIP Code
27320-3053
Phone
(336) 348-6902

Specialties & Taxonomy Codes

Specialty
Lodging

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