Individual
CLARA MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
278 VT ROUTE 149, WEST PAWLET, VT 05775-9798
(802) 645-0580
(802) 645-0587
Mailing address
71 ALLEN ST, SUITE 101, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04212759
—
NY
05
—
9000564
—
VT
Enumeration date
05/14/2012
Last updated
09/29/2016
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