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Individual

MRS. ALLYSON K MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2102 CIVIC CENTER DR, REDDING, CA 96001-2704
(530) 241-1144
(530) 241-1142
Mailing address
2102 CIVIC CENTER DR, REDDING, CA 96001-2704
(530) 241-1144
(530) 241-1142

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17322
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA17322
CA
Enumeration date
05/10/2007
Last updated
02/23/2010
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