JUANETTA MARTIN

BASTROP, LA
NPI1972650653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  900889)
Enumeration Date2007-01-04
Last Update Date2007-07-09
Business Address
Ms. JUANETTA MARTIN LPN
8057 WILLIARD RD
BASTROP, LA 71220-8939
Phone number: 318-556-0043
Mailing Address
Ms. JUANETTA MARTIN LPN
PO BOX 561 8057 WILLARD ROAD
BASTROP, LA 71221-0561
Phone number: 318-556-0043