Individual
MR. SHAE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSING ASSITANT
Contact information
Practice address
936 W MOUNTAIN VIEW RD APT 15, PHOENIX, AZ 85021-2368
(480) 587-3706
Mailing address
936 W MOUNTAIN VIEW RD APT 15, PHOENIX, AZ 85021-2368
(480) 587-3706
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
LNA1000053604
AZ
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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