Individual
SANDRA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3556 SW 90TH AVE, MIRAMAR, FL 33025-7635
(954) 451-8956
Mailing address
PO BOX 260303, PEMBROKE PINES, FL 33026-7303
(954) 451-8956
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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