Individual
DAWN EILEEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 RUDON LN, COLUMBUS, OH 43204-1483
(614) 279-0738
Mailing address
3360 RUDON LN, COLUMBUS, OH 43204-1483
(614) 279-0738
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 129102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356712
—
OH
Enumeration date
04/06/2007
Last updated
07/09/2007
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