Individual
PATRICIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 UNION ST, BRUCETON MILLS, WV 26525-6741
(304) 685-8405
Mailing address
107 UNION ST, BRUCETON MILLS, WV 26525-6741
(304) 685-8405
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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