Individual
MARTINE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2846 COVE VIEW CT, DACULA, GA 30019-4705
(929) 354-4308
Mailing address
2846 COVE VIEW CT, DACULA, GA 30019-4705
(929) 354-4308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN314014
GA
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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