Individual
JOHWANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 RAVENWOOD AVE, DAYTON, OH 45406
(937) 674-7729
Mailing address
2055 RAVENWOOD AVE, DAYTON, OH 45406-2903
(937) 674-7729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.358015
OH
Other
Enumeration date
05/05/2010
Last updated
08/26/2010
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