Individual
JEREMY TRAVIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
888 E MAIN ST, HARRISVILLE, WV 26362-1300
(304) 305-1935
Mailing address
888 E MAIN ST, HARRISVILLE, WV 26362-1300
(304) 305-1935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54103
WV
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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