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CODY V MARTIN

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1578960001

Individual Registrant:
 CODY V MARTIN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
189 AIRPORT WAY  UNALAKLEET, AK 99684 US
Tel: 907-624-3535  Fax: 907-624-3692

Contact information for business:
189 AIRPORT WAY  UNALAKLEET, AK 99684 US
Tel: 907-624-3535  Fax: 907-624-3692

Registration Information:
NPI: 1578960001
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CHA IICHA IIAK01




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