VIVIAN L MARTIN

MOUNT VERNON, IL
NPI1194078816
Entity TypeOrganization
Authorized ContactVIVIAN LEA MARTIN
Owner
618-242-4442
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2012-10-18
Last Update Date2012-10-18
Business Address
VIVIAN L MARTIN
1024 JORDAN ST
MOUNT VERNON, IL 62864-4231
Phone number: 618-242-4442
Mailing Address
VIVIAN L MARTIN
1024 JORDAN ST
MOUNT VERNON, IL 62864-4231
Phone number: 618-242-4442