Individual
REBECCA MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9943 165TH AVE NW, ELK RIVER, MN 55330-6301
(612) 695-2283
Mailing address
9943 165TH AVE NW, ELK RIVER, MN 55330-6301
(612) 695-2283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236544-2
MN
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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