Individual
MS. DEIDRE P. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1701 N ALSTON ST, FOLEY, AL 36535-2246
(251) 943-7781
Mailing address
1500 DOGWOOD LN, FOLEY, AL 36535-2216
(251) 968-6067
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
AL
Other
Enumeration date
09/05/2014
Last updated
04/18/2017
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