Individual
ATASHA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7699 VANDALAY DR, JACKSONVILLE, FL 32244-8147
(904) 382-1962
Mailing address
7699 VANDALAY DR, JACKSONVILLE, FL 32244-8147
(904) 382-1962
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/09/2019
Last updated
12/19/2019
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