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Individual

DR. LATOYA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
HWY 191 HOSPITAL TURNOFF, CHINLE, AZ 86503
(928) 674-7861
Mailing address
9221 BRINKLEY LN, MANASSAS, VA 20110-5584
(703) 401-4224

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213687
VA
1835P2201X
Ambulatory Care Pharmacist
0202213687
VA

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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