Individual
HAKEEM F MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 N DOWNEY CT, INDEPENDENCE, MO 64056-1560
(816) 882-6916
Mailing address
624 N DOWNEY CT, INDEPENDENCE, MO 64056-1560
(816) 882-6916
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
R213272001
MO
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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