Individual
MR. JACOB ALAN MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5948 SENTINEL DR, RALEIGH, NC 27609-3510
(386) 984-8896
Mailing address
5948 SENTINEL DR, RALEIGH, NC 27609-3510
(386) 984-8896
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19758
NC
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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