Individual
MRS. BOBETTE S MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-A
Contact information
Practice address
5658 HIGHWAY 260, STE 4, LAKESIDE, AZ 85929-5189
(928) 537-7373
(928) 537-7377
Mailing address
5658 HIGHWAY 260, STE 4, LAKESIDE, AZ 85929-5189
(928) 537-7373
(928) 537-7377
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA 898
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562670
—
AZ
Enumeration date
05/31/2005
Last updated
07/08/2007
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