JENNIE P MARTIN

SPRINGDALE, AR
NPI1912233370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: AR  A0810076)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
JENNIE P MARTIN LAC
130 SPRING ST
SPRINGDALE, AR 72764-4567
Phone number: 479-751-5704
Mailing Address
JENNIE P MARTIN LAC
257 PINE MEADOW DR
FARMINGTON, AR 72730-8624
Phone number: 479-267-0268
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