Individual
BRITTANY NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60980160
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.164311
LICENSURE
OH
Enumeration date
10/26/2017
Last updated
06/22/2022
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