Individual
DREW MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 RAYLAND ST, LAFAYETTE, LA 70506-2117
(407) 719-9491
Mailing address
111 RAYLAND ST, LAFAYETTE, LA 70506-2117
(407) 719-9491
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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