Individual
JAMILA RONIQUE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5537 PGA BLVD, APT. 4511, ORLANDO, FL 32839-3561
(850) 590-8102
Mailing address
5537 PGA BLVD, APT. 4511, ORLANDO, FL 32839-3561
(850) 590-8102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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