Individual
MRS. KATHRYN M. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
92 GENEVA ST, BATH, NY 14810-9503
(607) 664-4921
Mailing address
92 GENEVA ST, BATH, NY 14810-9503
(607) 664-4921
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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