Individual
MS. LEILA STUART MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
7517 NEWLAND ST, PHILADELPHIA, PA 19128
(215) 482-2352
Mailing address
7517 NEWLAND ST, PHILADELPHIA, PA 19128-4134
(215) 482-2352
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F03232
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811120624
IRS
PA
Enumeration date
07/15/2009
Last updated
09/07/2018
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