Individual
SHAWNA MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9732 HIGHWAY 30, ROLLA, ND 58367-9528
(701) 550-0387
Mailing address
PO BOX 1, ROLLA, ND 58367-0001
(701) 550-0387
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
10/12/2020
Last updated
06/23/2024
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