Organization
GWENDOLYN MARTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN MARTIN (OWNER)
(904) 537-2846
Entity
Organization
Contact information
Practice address
3402 N LEE STREET, JACKSONVILLE, FL 32209
(904) 537-2846
Mailing address
3402 N LEE STREET, JACKSONVILLE, FL 32209
(904) 537-2846
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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