Individual
MARY B MARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6715 80TH AVE N, BROOKLYN PARK, MN 55445-2610
(763) 560-8076
Mailing address
6715 80TH AVE N, BROOKLYN PARK, MN 55445-2610
(763) 560-8076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R146022-5
MN
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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