FREDERICKA MARTIN

ANDERSON, SC
NPI1982008793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: SC  47-19724120)
Enumeration Date2014-10-22
Last Update Date2014-10-22
Business Address
FREDERICKA MARTIN LPN
110 HOWARD LN
ANDERSON, SC 29621-6817
Phone number: 704-777-8504
Mailing Address
FREDERICKA MARTIN LPN
9723 WINGED TRAIL CT
CHARLOTTE, NC 28277-4695
Phone number: 704-777-8504
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