Individual
MS. KETURAH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5619 DIANE DR, MOBILE, AL 36618-2808
(251) 648-7675
Mailing address
5619 DIANE DR, MOBILE, AL 36618-2808
(251) 648-7675
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
0
AL
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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