Individual
LAURA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 FELIX ST, WALES, WI 53183-9508
(262) 269-9890
Mailing address
163 FELIX ST, WALES, WI 53183-9508
(262) 269-9890
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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