Individual
MARIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7318 W VALLEY RIDGE DR, MADISON, WI 53719-2356
(608) 219-8517
Mailing address
7318 W VALLEY RIDGE DR, MADISON, WI 53719-2356
(608) 219-8517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317599-31
WI
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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