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Individual

JACQUELINE RAE MARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNS

Contact information

Practice address
441 E 8TH ST, LIMA, OH 45804-2482
(419) 221-3072
(419) 222-3927
Mailing address
441 E 8TH ST, LIMA, OH 45804-2482
(419) 221-3072
(419) 222-3927

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
NS07725
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2554827
OH
Enumeration date
06/28/2006
Last updated
07/08/2007
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