Individual
JILL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 WEXFORD DR, HURON, OH 44839-3001
(419) 602-0100
(419) 433-5956
Mailing address
507 WEXFORD DR, HURON, OH 44839-3001
(419) 602-0100
(419) 433-5956
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
29518
OH
2471S1302X
Sonography Radiologic Technologist
Primary
29518
OH
Other
Enumeration date
03/19/2009
Last updated
04/02/2009
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