Individual
MR. MARTIN SHELDON PONNECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00102728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24807200
GROUP HEALTH PROVIDER NUM
WA
01
—
47092
L&I PROVIDER NUMBER
WA
05
—
9633934
—
WA
Enumeration date
01/04/2007
Last updated
07/09/2007
Update your record
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