Individual
HEATHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8271 LIFFORD PL, FT WORTH, TX 76116-6923
(682) 738-6455
Mailing address
8271 LIFFORD PL, FT WORTH, TX 76116-6923
(682) 738-6455
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11189418
TX
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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