Individual
DR. SONGHUI MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PA
Contact information
Practice address
5420 N DOLAN CT, PRESCOTT VALLEY, AZ 86314-6753
(626) 464-4379
Mailing address
5420 N DOLAN CT, PRESCOTT VALLEY, AZ 86314-6753
(626) 464-4379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
255309
AZ
163W00000X
Registered Nurse
729174
CA
363A00000X
Physician Assistant
002239-PA
PR
Other
Enumeration date
09/03/2024
Last updated
11/15/2025
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