LAQUINTA MARTIN

MARTINSVILLE, VA
NPI1497224448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2018-11-20
Last Update Date2018-11-20
Business Address
LAQUINTA MARTIN
930 BROOKDALE ST
MARTINSVILLE, VA 24112-3105
Phone number: 276-732-4852
Mailing Address
LAQUINTA MARTIN
PO BOX 3324
MARTINSVILLE, VA 24115-3324
Phone number: 276-732-4852