Individual
MRS. JOANNA LEE MARTINETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
10571 TELEGRAPH RD, SUITE 110, GLEN ALLEN, VA 23059-4652
(804) 266-9616
Mailing address
2811 GOYNE TER, CHESTER, VA 23831-2163
(804) 617-5766
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024170051
VA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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