Individual
SHANA L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1728 VIRGINIA BEACH BLVD STE 113, VIRGINIA BEACH, VA 23454-4533
(757) 437-0411
(757) 552-0378
Mailing address
1728 VIRGINIA BEACH BLVD STE 113, VIRGINIA BEACH, VA 23454-4533
(757) 437-0411
(757) 552-0378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002100145
VA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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