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Individual

SHANIQUE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(205) 744-3000
Mailing address
1121 30TH AVE S, SEATTLE, WA 98144-3209
(305) 904-5408

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD.61325340
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/23/2020
Last updated
04/13/2026
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