Individual
KEASHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
449 MEADOWLARK ST, SHAW AFB, SC 29152
(803) 895-6988
Mailing address
449 MEADOWLARK, BLDG 1046, SHAW AFB, SC 29152
(803) 895-6988
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH34302
FL
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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