Individual
ROSS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
1627 HIGHWAY 1, THIBODAUX, LA 70301-5769
(985) 856-4462
Mailing address
1627 HIGHWAY 1, THIBODAUX, LA 70301-5769
(985) 856-4462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216163
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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