Jeffrey Martin, Prosthetic Specailis
Specialist, Prosthetics Case Management in Sacramento, CA. Individual provider (NPI-1).
NPI number1164085296
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1164085296
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Martin
- Credential
- Prosthetic Specailis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | – | – | Yes |
Practice location
8876 Vintage Park Dr # 1158876Sacramento, CA 95828-5893
Phone 713-992-2720
Mailing address
8876 Vintage Park Dr # 1158876Sacramento, CA 95828-5893
Phone 713-992-2720
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