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Organization

YVONNA BETH MARTIN

Active
Other names
Back to Chiropractic Center LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YVONNA BETH MARTIN D.C, (OWNER)
(856) 692-2521
Entity
Organization

Contact information

Practice address
1419 S DELSEA DR, VINELAND, NJ 08360-6253
(856) 692-2521
(856) 692-6434
Mailing address
1419 S DELSEA DR, VINELAND, NJ 08360-6253
(856) 692-2521
(856) 692-6434

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00503300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184923005
NPI
NJ
Enumeration date
03/17/2011
Last updated
04/04/2011
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