Individual
SANDRA MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7306 ROUND LAKE RD NW, RAPID CITY, MI 49676-9494
(231) 676-7193
Mailing address
7306 ROUND LAKE RD NW, RAPID CITY, MI 49676-9494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704243487
MI
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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