Individual
SYLVIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
128 W RUSSELL ST, IRONTON, MO 63650-1313
(573) 546-3434
(573) 546-3006
Mailing address
PO BOX 434, IRONTON, MO 63650-0434
(573) 546-7634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
137272
MO
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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