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Individual

MR. DAEMIAN ALEXANDER MARTIN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
845192
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
845192
REGISTERED NURSE
CA
Enumeration date
10/25/2020
Last updated
10/25/2020
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