Individual
JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 RANCHO VIA DR, SPARKS, NV 89434-4051
(775) 223-9040
(775) 453-1502
Mailing address
741 RANCHO VIA DR, SPARKS, NV 89434-4051
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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