Individual
ASHLEY E MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 625-7050
Mailing address
1419A HOLLOWAY DR, PINEVILLE, LA 71360-5233
(318) 447-6177
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2955
—
LA
Enumeration date
08/30/2021
Last updated
08/30/2021
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