Individual
MISS DIANA JEAN MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9230 SE 171 ST COOPER LOOP, THE VILLAGES, FL 32162-1816
(904) 327-8988
Mailing address
9230 SE 171 ST COOPER LOOP, THE VILLAGES, FL 32162-1816
(904) 327-8988
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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