Demetria Martin

NPI 1114157955 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1114157955
Gender Female
Enumeration Date 07/14/2009
Last Updated 04/29/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
200 S EXECUTIVE DR
SUITE 101
BROOKFIELD WI, 53005-4216, US
Phone (888) 964-6681
Fax (888) 662-0859
Business Location
888 WORCESTER ST
SUITE 130
WELLESLEY MA, 02482-3717, US
Phone (617) 964-6681
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Demetria Martin NPI is 1114157955, taxonomy code is 390200000X Demetria Martin physically located at 200 S Executive Dr, Brookfield WI, 53005-4216. NPI Number Demetria Martin has the Individual type.

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1114157955 NPI number is provided on an as is basis without warranty of any kind. 1114157955 is maintained by the National Plan & Provider Enumeration System. The contents of Demetria Martin are for informational purposes only.