Individual
MARTINA PATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WILMON RD, CHURCH POINT, LA 70525-6734
(337) 308-1648
Mailing address
235 WILMON RD, CHURCH POINT, LA 70525-6734
(337) 308-1648
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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