Tabatha Sue Martin, LPN | |
804 Industrial Park Rd, Maxwelton, WV 24957-8066 | |
(304) 497-0500 | |
(304) 497-0516 |
Full Name | Tabatha Sue Martin |
---|---|
Gender | Female |
Speciality | Licensed Vocational Nurse |
Location | 804 Industrial Park Rd, Maxwelton, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407622608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 32488 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tabatha Sue Martin, LPN 804 Industrial Park Rd, Maxwelton, WV 24957-8066 Ph: (304) 497-0500 | Tabatha Sue Martin, LPN 804 Industrial Park Rd, Maxwelton, WV 24957-8066 Ph: (304) 497-0500 |
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