Individual
TAMARA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 669-6833
Mailing address
3632 SHORELINE DR, PORTSMOUTH, VA 23703-4034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024142971
VA
Other
Enumeration date
01/25/2006
Last updated
12/22/2011
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