Individual
MRS. MONICA GUADALUPE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9701 S TACOMA WAY STE 106, LAKEWOOD, WA 98499-4490
(253) 588-8340
Mailing address
9423 FAGAN CT NE, OLYMPIA, WA 98516
(253) 548-5702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60322782
WA
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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