Individual
ALISHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3036
CT
152W00000X
Optometrist
Primary
OEG003966
PA
Other
Enumeration date
04/08/2017
Last updated
02/23/2023
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