Individual
ASHLEY JANAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 KIRKMAN ST STE C, LAKE CHARLES, LA 70601-5391
(337) 532-7955
Mailing address
6505 NELSON RD TRLR 39, LAKE CHARLES, LA 70605-0489
(337) 532-7955
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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