Individual
CARLOS JOSE MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 ONE PERKINS PLACE DR STE A, BATON ROUGE, LA 70808-9113
(225) 831-1241
Mailing address
5800 ONE PERKINS PLACE DR STE A, BATON ROUGE, LA 70808-9113
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN150143
LA
363LF0000X
Family Nurse Practitioner
Primary
215667
LA
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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