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Individual
TAMARA ARIA MARTIN
Active
Individual
TAMARA ARIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
943289
NY
164W00000X
Licensed Practical Nurse
335909
NY
Other
Enumeration date
12/06/2019
Last updated
06/04/2024
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