Individual provider · Type 1 NPI

Stacy R. Martin

Driver · Redding, CA

NPI number 1972753804 Active

Practice location

2640 Breslauer Way
Redding, CA 96001-4246

Call (530) 225-5200 Map

Mailing address

PO Box 992672
Redding, CA 96099-2672

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1972753804

Stacy R. Martin's National Provider Identifier is 1972753804, issued on Sep 29, 2008. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Redding, CA. The record was last updated on Sep 29, 2008.