Individual
MARY ANGELIQUE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 HANSON DR, DOYLINE, LA 71023-3953
(318) 210-1800
Mailing address
193 HANSON DR, DOYLINE, LA 71023-3953
(318) 210-1800
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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