Individual
KAYLA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 TAFT CT STE 100, ROCKVILLE, MD 20850-5577
(240) 406-4195
Mailing address
2231 W SUSSEX AVE, MISSOULA, MT 59801-6527
(406) 241-1749
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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