Individual
CORY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 W CARMAN RD, EL DORADO SPRINGS, MO 64744-2218
(417) 296-1192
Mailing address
309 W CARMAN RD, EL DORADO SPRINGS, MO 64744-2218
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
RCB-683
MO
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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