SearchLouisiana104100000X

Tyra Martin

NPI 1992342224 · on the registry since 2019 · sole proprietor

Practice

Address
39420 Oceanview Ave
Prairieville, LA 70769
Phone
(225) 447-4499

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2019-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana