THEODORE DALE MARTIN

ERIE, PA
NPI1841025418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP030516)
Enumeration Date2024-09-04
Last Update Date2024-09-25
Business Address
THEODORE DALE MARTIN CRNP
7200 PEACH ST UNIT 16
ERIE, PA 16509-4756
Phone number: 814-877-4110
Mailing Address
THEODORE DALE MARTIN CRNP
7200 PEACH ST UNIT 16
ERIE, PA 16509-4756
Phone number: