Individual
DAVID MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 E DIVISION ST, MOUNT VERNON, WA 98274-4134
(360) 734-5410
Mailing address
1315 E DIVISION ST, MOUNT VERNON, WA 98274-4134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60256034
WA
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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