Individual
MS. BAMBI GAIL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
115 PRIVATE ROAD 977, PEDRO, OH 45659-8608
(740) 534-1386
(740) 534-1497
Mailing address
115 PRIVATE ROAD 977, PEDRO, OH 45659-8608
(740) 534-1386
(740) 534-1497
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.100628.MEDS
OH
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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