Most Relevant Information
Provider Data
| NPI Number: | 1003378456 |
| Provider Name: | JACQUELIN MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2019 |
| Last Updated: | 04/04/2019 |
Provider Practice Location
401 E MCMILLAN ST
CINCINNATI
OH
452061922
Practice Location Phone/Fax
| Phone: | 5132213350 |
| Fax: | 5134755673 |
Provider Mailing Location
401 E MCMILLAN ST
CINCINNATI
OH
452061922
Provider Mailing Phone/Fax
| Phone: | 5132213350 |
| Fax: | 5134755673 |