Organization
MARTIN SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MARTIN (PRESIDENT)
(302) 213-9652
Entity
Organization
Contact information
Practice address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(302) 213-9652
Mailing address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(302) 213-9652
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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