Individual
MRS. SHEREKA JACKSON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
606 N 18TH STREET, FORT PIERCE, FL 34950-6013
(772) 882-9450
(717) 924-5632
Mailing address
606 N 18TH STREET, FORT PIERCE, FL 34950-6013
(772) 882-9450
(717) 924-5632
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 129843
FL
Other
Enumeration date
11/18/2008
Last updated
03/18/2009
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