Organization
DR. CRYSTAL MARTIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL DAWN MARTIN DC (OWNER/ CHIROPRACTOR)
(405) 921-6564
Entity
Organization
Contact information
Practice address
8730 TALLON LN NE, SUITE 104, LACEY, WA 98516-6609
(800) 689-1254
Mailing address
40402 62ND AVE E, EATONVILLE, WA 98328-9599
(405) 921-6564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 60394038
WA
Other
Enumeration date
12/17/2007
Last updated
05/16/2014
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