Individual
MRS. CHRISTY JANETTE MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 NW 5TH ST, GUYMON, OK 73942-4240
(580) 338-2117
(580) 338-1262
Mailing address
306 NW 5TH ST, GUYMON, OK 73942-4240
(580) 338-2117
(580) 338-1262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100732920G
—
OK
Enumeration date
11/17/2015
Last updated
11/17/2015
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