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Individual
MS. TABETHA MARTIN
Active
Individual
MS. TABETHA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95208086
CA
163WC0400X
Case Management Registered Nurse
95208086
CA
163WC1500X
Community Health Registered Nurse
558692
CA
163WH0200X
Home Health Registered Nurse
Primary
95208086
CA
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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