Individual
DANIELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N 5TH ST, TEMPLE, TX 76501-3169
(318) 946-4779
Mailing address
611 N 5TH ST, TEMPLE, TX 76501-3169
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
325468
TX
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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