Individual
TERAN ASHLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
179 DAVIS RD, BOKCHITO, OK 74726
(719) 650-9406
Mailing address
179 DAVIS RD, BOKCHITO, OK 74726
(719) 650-9406
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-346306
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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