Individual
MOLLY JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2555 MARVIN RD NE, PMG SW WA HAWKS PRAIRIE IM, LACEY, WA 98516-3138
(360) 923-4600
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP 60477361
WA
Other
Enumeration date
07/18/2014
Last updated
06/18/2021
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