Individual
CLENATONIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
8203 NW 31ST AVE APT I58, GAINESVILLE, FL 32606-6224
(352) 246-1185
Mailing address
8203 NW 31ST AVE APT I58, GAINESVILLE, FL 32606-6224
(352) 246-1185
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
319184
FL
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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