Individual
DANA MACKEY MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4209 ALABAMA AVE, DICKINSON, TX 77539-7003
(281) 910-1495
Mailing address
4209 ALABAMA AVE, DICKINSON, TX 77539-7003
(281) 910-1495
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150445
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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