Individual
MRS. CHRISTINA L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7261 W CHARLESTON BLVD STE 101, LAS VEGAS, NV 89117-1679
(702) 396-0101
Mailing address
7261 W CHARLESTON BLVD STE 101, LAS VEGAS, NV 89117-1679
(702) 396-0101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
164W00000X
Licensed Practical Nurse
PN5170004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120864 00
—
FL
01
—
RBT-17-34400
BEHAVIOR TECHNICIAN
—
Enumeration date
10/24/2007
Last updated
03/17/2018
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