Individual provider · Type 1 NPI
Mary Elizabeth Martin
Lodging Provider · Holts Summit, MO
NPI number
1932353455
Active
Practice location
2930 County Road 4002
Holts Summit, MO 65043-2079
Fax (573) 295-6684
Mailing address
2930 CO.RD.4003
Holts Summit, MO 65043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1932353455
Mary Elizabeth Martin's National Provider Identifier is 1932353455, issued on Nov 11, 2008. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Holts Summit, MO. The record was last updated on Nov 11, 2008.