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Individual
MATTHEW JAMES MARTIN
Active
Individual
MATTHEW JAMES MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95121204
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
95121204
CA
Other
Enumeration date
03/31/2023
Last updated
12/08/2023
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