Individual
WARREN A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7300 HANOVER GREEN DR STE 301-H, MECHANICSVILLE, VA 23111-1705
(804) 887-0093
Mailing address
104 COLTER DR, RICHMOND, VA 23223-1840
(804) 887-0093
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019012302
VA
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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