Individual
SUZANNE MARTINLMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
915 SUMMITVIEW AVE, YAKIMA, WA 98902-3021
(509) 965-4851
Mailing address
915 SUMMITVIEW AVE, YAKIMA, WA 98902-3021
(509) 965-4851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4825417
WA
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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