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Romona Martin

Contractor in Beaumont, TX. Individual provider (NPI-1).

NPI number1104362995
StatusActive
Last updated in NPPESJan 17, 2017

Details

NPI
1104362995
Entity type
Individual (NPI-1)
Name
Romona Martin
Sex
Female
Sole proprietor
No
Enumeration date
Jan 17, 2017
Last updated
Jan 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor21958694TXYes

Practice location

3260 Roberts St
Beaumont, TX 77701-6536

Phone 409-363-9586 · Fax 409-861-0168

Mailing address

3260 Roberts St
Beaumont, TX 77701-6536

Phone 409-363-9586 · Fax 409-861-0168

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