Individual
ALISA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 RIVER AVE, LANDA, ND 58783-4905
(518) 860-8020
Mailing address
350 RIVER AVE, LANDA, ND 58783-4905
(518) 860-8020
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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