Individual
ANNIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 S BUNTIN ST, KENNEWICK, WA 99336-4830
(509) 627-8662
Mailing address
715 S BUNTIN ST, KENNEWICK, WA 99336-4830
(509) 627-8662
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04143237
KAISER PERMANENTE
WA
Enumeration date
01/20/2019
Last updated
01/20/2019
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