Individual
DR. VIVIANNA RAYLENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA
Contact information
Practice address
24760 HOSPITAL RD, RED LAKE, MN 56671
(218) 679-3912
(218) 679-0189
Mailing address
24760 HOSPITAL RD, RED LAKE, MN 56671
(218) 679-3912
(218) 679-0189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH84878
CA
Other
Enumeration date
11/14/2018
Last updated
12/23/2024
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