Individual
VIDA LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5969 US HIGHWAY 6, ROME, OH 44085-9672
(440) 313-4514
Mailing address
5969 US HIGHWAY 6, ROME, OH 44085-9672
(440) 313-4514
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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