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Individual

JENNIFER MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1607 CREEKSIDE LOOP STE 140, YAKIMA, WA 98902-4882
(509) 969-9076
Mailing address
1607 CREEKSIDE LOOP STE 140, YAKIMA, WA 98902-4882
(509) 969-9076
(909) 558-6039

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
19963
CA
363A00000X
Physician Assistant
Primary
PA60218759
WA
363AM0700X
Medical Physician Assistant
19963
CA

Other

Enumeration date
10/07/2008
Last updated
10/31/2024
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