Individual
MRS. CHRISTINA MARIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 CUBA RD, MAYFIELD, KY 42066-6809
(270) 247-2588
Mailing address
2425 HARRISON ST, PADUCAH, KY 42001-3142
(270) 331-7287
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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