Individual
PATRICIA MARSTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 OLD AILEY LOTHAIR RD, AILEY, GA 30410-3332
(912) 585-7592
Mailing address
818 OLD AILEY LOTHAIR RD, AILEY, GA 30410-3332
(912) 585-7592
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
12078223
GA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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