Individual
IRSHAD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 LEWIS ST, WINSTON SALEM, NC 27107-4322
(336) 450-9811
Mailing address
2501 LEWIS ST, WINSTON SALEM, NC 27107-4322
(336) 450-9811
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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