Individual
CATHERINE ANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
44150 W MARICOPA CASA GRANDE HWY, MARICOPA, AZ 85138-5900
(520) 568-5100
Mailing address
22210 N O SULLIVAN DR, MARICOPA, AZ 85138-2292
(480) 544-1457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP034626
AZ
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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