Individual
GERARD MARTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9917 LARGO CT, MURRELLS INLET, SC 29576-8379
(513) 545-9589
Mailing address
9917 LARGO CT, MURRELLS INLET, SC 29576-8379
(513) 545-9589
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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