Individual
MISS MARTHA A WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACA, MA
Contact information
Practice address
7544 HOLABIRD AVE, BALTIMORE, MD 21222-2104
(410) 284-2889
Mailing address
7544 HOLABIRD AVE, BALTIMORE, MD 21222-2104
(410) 284-2889
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
01883
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L265
BLUE CROSS BLUE SHIELD
MD
Enumeration date
01/03/2007
Last updated
07/08/2007
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