Individual
JUDY ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1577 ACHILLES ST, PORT CHARLOTTE, FL 33980-4848
(122) 925-1625
Mailing address
1577 ACHILLES ST, PORT CHARLOTTE, FL 33980-4848
(229) 251-6255
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/20/2023
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