Individual
KRYSTAL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 MARTIN BLVD, BALTIMORE, MD 21220-4104
(410) 406-9082
Mailing address
1330 MARTIN BLVD, BALTIMORE, MD 21220-4104
(410) 406-9082
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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