Individual
SHERUNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1763 CHRISTOPHER ST, WINTER GARDEN, FL 34787-3752
(407) 758-5827
Mailing address
1763 CHRISTOPHER, WINTER GARDEN, FL 34787-3752
(407) 758-5827
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
164W00000X
Licensed Practical Nurse
Primary
PN5204036
FL
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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