Individual
MRS. GINA MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21390 W GREENHILL RD, WAUKESHA, WI 53186-5426
(262) 271-4775
Mailing address
21390 W GREENHILL RD, WAUKESHA, WI 53186-5426
(262) 271-4775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
137705-30
WI
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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