Individual
LUCINDA JANE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 1 BOX 161, UNION, WV 24983-9545
(304) 772-4001
(304) 772-4001
Mailing address
RR 1 BOX 161, UNION, WV 24983-9545
(304) 772-4001
(304) 772-4001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
40513
WV
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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