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Individual

MR. DANA J MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.D.01

Contact information

Practice address
1401 VETERANS BLVD, METAIRIE, LA 70005-2734
(504) 834-1570
(504) 833-9148
Mailing address
205 LANCASTER DR, HOUMA, LA 70360-7159
(985) 876-9494
(985) 876-9494

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11437
LA

Other

Enumeration date
09/04/2012
Last updated
09/04/2012
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