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Organization
MARTHA'S VILLAGE & KITCHEN
Active
Organization
MARTHA'S VILLAGE & KITCHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH SMITH (RN)
(760) 347-4741
Entity
Organization
Contact information
Practice address
83791 DATE AVE, INDIO, CA 92201-4737
(760) 347-4741
(760) 342-2294
Mailing address
83791 DATE AVE, INDIO, CA 92201-4737
(760) 347-4741
(760) 342-2294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AN1395602
CA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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