Individual
CHRISTAL DAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 JOHNSON AVE, ROCK SPRINGS, WY 82901-4454
(307) 371-2331
Mailing address
2011 JOHNSON AVE, ROCK SPRINGS, WY 82901-4454
(307) 371-2331
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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