Whalio Doctors

NPI 1912233370

Jennie P Martin, LAC

Practitioner Community Health Worker Springdale, AR

Practice location

Address
130 Spring St, Springdale, AR 72764-4567
Phone
(479) 751-5704
Fax
(479) 750-7050
Mailing address
257 Pine Meadow Dr, Farmington, AR 72730-8624

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence A0810076 (AR)

Registry record

NPI
1912233370
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Oct 2009
Record last updated
20 Oct 2009

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.