Individual
DR. MARY A. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
311 JACKS PL, NEWPORT NEWS, VA 23608-1292
(757) 310-9671
Mailing address
311 JACKS PL, NEWPORT NEWS, VA 23608-1292
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001204448
VA
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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