Individual
ELIJAH DAVION MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
1117 E 125TH ST # THC, CLEVELAND, OH 44112-4127
(347) 387-6749
Mailing address
544 DAVIS AVE # 1R, STATEN ISLAND, NY 10310-2904
(732) 765-2115
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/12/2023
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