Individual
MR. TYLER J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2200 TYDD ST, EUREKA, CA 95501-1284
(707) 441-1624
Mailing address
1275 8TH ST, ARCATA, CA 95521-5770
(913) 562-7852
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95302953
CA
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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