Individual
MS. JOANNA D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
14 S WESTFIELD ST, FEEDING HILLS, MA 01030-2702
(413) 786-2957
(413) 786-2956
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
344
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD0027
BCBSMA
MA
Enumeration date
07/07/2006
Last updated
10/06/2009
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