Individual
COURTNEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3631 GARDNER ST, UNIT A, ANCHORAGE, AK 99508-4951
(907) 590-1457
Mailing address
3631 GARDNER ST, UNIT A, ANCHORAGE, AK 99508
(907) 590-1457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6849
AK
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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