Individual
MS. TAMARA C MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N6013 LAKE DR, SHAWANO, WI 54166-3945
(715) 897-5270
Mailing address
N6013 LAKE DR, SHAWANO, WI 54166-3945
(715) 897-5270
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313873
WI
Other
Enumeration date
06/26/2011
Last updated
06/26/2011
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