LISA MARTIN

SALEM, MO
NPI1861872889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2012020059)
Enumeration Date2015-06-04
Last Update Date2015-06-04
Business Address
-- LISA MARTIN LPN
203 N GRAND ST
SALEM, MO 65560-1344
Phone number: 573-729-4103
Mailing Address
-- LISA MARTIN LPN
PO BOX 506
PARK HILLS, MO 63601
Phone number:
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