Individual
KEIKILANI ADARA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 FAIRVIEW AVE, HAMILTON, OH 45015-1411
(757) 256-7147
Mailing address
305 FAIRVIEW AVE, HAMILTON, OH 45015-1411
(757) 256-7147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
80525941
OH
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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