Individual
FELICIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 SUMMIT ST, PORTSMOUTH, OH 45662-3718
(740) 353-2294
Mailing address
1230 SUMMIT ST, PORTSMOUTH, OH 45662-3718
(740) 353-2294
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2277665
—
OH
Enumeration date
12/17/2020
Last updated
12/17/2020
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