Alyssa Martin
Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).
NPI number1053962829
StatusActive
Last updated in NPPESSep 24, 2019
Details
- NPI
- 1053962829
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2019
- Last updated
- Sep 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1301 Coates Bluff Dr Apt 1212Shreveport, LA 71104-2864
Phone 708-691-9355
Mailing address
1301 Coates Bluff Dr Apt 1212Shreveport, LA 71104-2864
Phone 708-691-9355
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