SearchMissouri374J00000X

Addie Martin, SBD

NPI 1790379410 · on the registry since 2021 · sole proprietor

Practice

Address
32756 Lowen Rd
Bucklin, MO 64631
Phone
(660) 412-2342

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2021-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri