Individual
ANGELINA RENAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
1902 2ND AVE STE 208, SEATTLE, WA 98101-1186
(206) 956-9507
Mailing address
1902 2ND AVE, SEATTLE, WA 98101-1155
(206) 939-0722
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
60886011
WA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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