Individual
MARTHA ANN STANDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2807 HALIBUT POINT RD APT B, SITKA, AK 99835-9647
(209) 966-2411
Mailing address
1819 S CHEROKEE LN APT 76, LODI, CA 95240-6365
(209) 334-3028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR R 27349
AK
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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