Individual
HALEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 HERRING RD, MASONTOWN, WV 26542-9470
(304) 685-4117
Mailing address
6400 HERRING RD, MASONTOWN, WV 26542-9470
(304) 685-4117
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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