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Individual

STEPHANIE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2424 WILCREST DR, HOUSTON, TX 77042-2761
(713) 666-8287
Mailing address
14515 STILL MEADOW DR, HOUSTON, TX 77079-3120
(208) 313-9983

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10897
ID

Other

Enumeration date
10/30/2020
Last updated
10/30/2020
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