Individual
VICTORIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 GENNETT DR, JASPER, GA 30143-1143
(706) 692-5123
Mailing address
7560 OAK RIDGE DR, GAINESVILLE, GA 30506-6112
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030058599
GA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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