Individual
CRISTAL DAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2410 W 2ND ST, MONAHANS, TX 79756-6913
(432) 202-9386
Mailing address
2410 W 2ND ST, MONAHANS, TX 79756-6913
(432) 202-9386
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
309718
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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