NPI 1366030116
Jacqueline Martin
Practice location
- Address
- 7861 Indian Rd, Gloucester, VA 23061-5258
- Phone
- (757) 768-0141
- Mailing address
- 4133 Cedar Bush Rd, Hayes, VA 23072-2611
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1366030116
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jan 2021
- Record last updated
- 7 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.