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Individual

MRS. CAROL MARTINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
355 CRAWFORD ST, SUITE 808, PORTSMOUTH, VA 23704-2816
(757) 399-7451
(757) 399-1158
Mailing address
201 GUM CT, SUFFOLK, VA 23435-2265
(757) 483-5803

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024074115
VA

Other

Enumeration date
07/06/2006
Last updated
07/08/2007
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