Individual
MS. MARCUS MARTIN PEDIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
1111 CRESTVIEW DRIVE, CAVE CITY, KY 42127-0000
(270) 773-2693
(270) 773-2693
Mailing address
1111 CRESTVIEW DRIVE, CAVE CITY, KY 42127
(270) 773-2693
(270) 773-2693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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