Individual
MR. JOE THOMAS MARTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9295
(804) 734-9016
Mailing address
1206 DANA LN, COLONIAL HEIGHTS, VA 23834-2208
(804) 520-4655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002027576
VA
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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