Individual
VICTORIA LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1431 NURSERY ST STE 101B, FOGELSVILLE, PA 18051-1612
(610) 336-8260
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057996
PA
363AM0700X
Medical Physician Assistant
OA003709
PA
Other
Enumeration date
11/16/2015
Last updated
06/12/2025
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