Individual
MS. PATRICIA LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12255 ST. RT. 348, OTWAY, OH 45657-9504
(937) 587-2907
Mailing address
12255 ST. RT. 348, OTWAY, OH 45657-9504
(937) 587-2907
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN109150
OH
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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