Jennie P Martin, LAC

NPI #1912233370 in Springdale, Arkansas

Provider Information

NPI Number: 1912233370
Entity Type: Individual
Name: Jennie P Martin, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: LAC
Enumeration Date: Oct 20, 2009
Last Updated: Oct 20, 2009

Practice Location

Address: 130 SPRING ST
City: Springdale
State: Arkansas
ZIP Code: 72764-4567
Phone: (479) 751-5704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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