Individual
MRS. LISA DIANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2573 N. UNION RD, TROTWOOD, OH 45426
(937) 545-8744
Mailing address
2573 N. UNION RD, TROTWOOD, OH 45426
(937) 545-8744
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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