Individual
GARY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
234 RUDD RD, VALLEY BEND, WV 26293-9503
(304) 704-6029
Mailing address
234 RUDD RD, VALLEY BEND, WV 26293-9503
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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