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Individual
GLENNA CECILIA MARTIN
Active
Individual
GLENNA CECILIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60663360
WA
207Q00000X
Family Medicine Physician
TM2022-1101
NM
Other
Enumeration date
05/25/2014
Last updated
10/19/2022
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