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Individual

BREA MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4366 MIDMOST DR STE E, MOBILE, AL 36609-5524
(251) 279-0421
Mailing address
4366 MIDMOST DR STE E, MOBILE, AL 36609-5524
(251) 279-0421

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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