Individual
MRS. MARTHA PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 E NEZPIQUE ST, JENNINGS, LA 70546-6018
(337) 368-2056
Mailing address
918 E NEZPIQUE ST, JENNINGS, LA 70546-6018
(337) 368-2056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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