Individual
MRS. NANCY JANE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SP
Contact information
Practice address
24628 S LAKEWAY CIR SE, SUN LAKES, AZ 85248-7311
(480) 802-9312
Mailing address
24628 S LAKEWAY CIR SE, SUN LAKES, AZ 85248-7311
(480) 802-9312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5137
AZ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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