Individual
JAMES HENRY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN WCC
Contact information
Practice address
5708 29TH AVENUE DR E, BRADENTON, FL 34208-6555
(941) 518-9672
Mailing address
5708 29TH AVENUE DR E, BRADENTON, FL 34208-6555
(941) 518-9672
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5202702
FL
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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