Individual
MR. DWAINE ATHONY MARTIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 E 131ST ST, GARFIELD HEIGHTS, OH 44105-6984
(216) 240-9027
Mailing address
4440 E 131ST ST, GARFIELD HEIGHTS, OH 44105-6984
(216) 240-9027
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RT708749
OH
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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