Individual
JENNIFER LUCILLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3348 TRAIL ON RD, MORAINE, OH 45439-1146
(937) 672-4382
Mailing address
3348 TRAIL ON RD, MORAINE, OH 45439-1146
(937) 672-4382
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
04/20/2023
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