Individual
JENA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16923 JOANNE DR, OMAHA, NE 68136-4146
(402) 297-3778
Mailing address
1815 SOLAR CIR, SMITHVILLE, MO 64089-8977
(816) 666-1187
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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