Individual
MRS. KATHLEEN M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7004
(603) 624-4366
Mailing address
143 E DERRY RD, CHESTER, NH 03036-4340
(603) 887-5220
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
723450
NH
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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