Individual
GUNNAR MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
481 COAL RIVER RD, GLEN DANIEL, WV 25844-9403
(304) 712-8589
Mailing address
PO BOX 543, MAC ARTHUR, WV 25873-0543
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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