Individual
LORETTA ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6122 N MACARTHUR BLVD APT 1646122N, WARR ACRES, OK 73122-7350
(405) 882-3232
(405) 470-7377
Mailing address
6122 N MACARTHUR BLVD APT 164, WARR ACRES, OK 73122-7315
(405) 882-3232
(405) 470-7377
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
332U00000X
Home Delivered Meals
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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