Individual
MRS. TONYA LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 JANETTE ST, HOT SPRINGS, AR 71901-3717
(501) 318-5285
(501) 318-5285
Mailing address
107 JANETTE ST, HOT SPRINGS, AR 71901-3717
(501) 318-5285
(501) 318-5285
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
160021783
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160021783
—
AR
Enumeration date
04/22/2008
Last updated
04/22/2008
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