Individual
TRACEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 830-2388
(508) 830-2389
Mailing address
29 PURCHADE ST, MIDDLEBORO, MA 02346-1207
(508) 830-2388
(508) 830-2389
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
228277
MA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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