Individual
ADRINNIE M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 WESTRIDGE, JACKSON, MS 39209
(601) 316-8686
Mailing address
PO BOX 266, JACKSON, MS 39205-0266
(601) 316-8686
(601) 500-5743
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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