Individual
MRS. HEATHER LEIGH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
317 MAIN STREET, EAGLE BUTTE, SD 57625
(605) 964-2814
Mailing address
PO BOX 1797, EAGLE BUTTE, SD 57625-1797
(605) 964-3004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R039505
SD
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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