Individual
CANDIDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
36609 45TH ST, SHAWNEE, OK 74804-8882
(405) 273-1170
Mailing address
36609 45TH ST, SHAWNEE, OK 74804-8882
(405) 273-1170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/07/2026
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