Jacqueline Martin
NPI #1366030116 in Gloucester, Virginia
Provider Information
- NPI Number
- 1366030116
- Entity Type
- Individual
- Name
- Jacqueline Martin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Jan 7, 2021
Practice Location
- Address
- 7861 INDIAN RD
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-5258
- Phone
- (757) 768-0141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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