Judy Ann Martin
Technician, Attendant Care Provider in Port Charlotte, FL. Individual provider (NPI-1).
NPI number1730961855
StatusActive
Last updated in NPPESOct 20, 2023
Details
- NPI
- 1730961855
- Entity type
- Individual (NPI-1)
- Name
- Judy Ann Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2023
- Certification date
- Oct 20, 2023
- Last updated
- Oct 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
1577 Achilles StPort Charlotte, FL 33980-4848
Phone 122-925-1625
Mailing address
1577 Achilles StPort Charlotte, FL 33980-4848
Phone 229-251-6255
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