Individual
HAZEL FERN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC ACA
Contact information
Practice address
1640 KERR STREET, LOT 2, OPELOUSAS, LA 70570-7845
(337) 212-9899
Mailing address
1640 KERR STREET, LOT 2, OPELOUSAS, LA 70570-7845
(337) 212-9899
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACA.200026
LA
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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