Jessica Martin

NPI #1457876187 in Lockport, New York

Provider Information

NPI Number
1457876187
Entity Type
Individual
Name
Jessica Martin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Aug 3, 2017
Last Updated
Aug 3, 2017

Practice Location

Address
4429 LAKE AVE
ZIP Code
14094-1198
Phone
(716) 574-7816

Specialties & Taxonomy Codes

Specialty
Specialist

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