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SAMUEL MARTIN

>> Genetic Counselor, MS >> Other Service Providers

Registrant NPI Number: 1184198343

Individual Registrant:
 SAMUEL  MARTIN 
Gender: M
Sole Proprietor

Location and contact information for practice:
18040 VIA BELLAMARE LN  MIROMAR LAKES, FL 33913-7606 US
Tel: 646-421-8499  Fax: --

Contact information for business:
18040 VIA BELLAMARE LN  MIROMAR LAKES, FL 33913-7606 US
Tel: 646-421-8499  Fax: --

Registration Information:
NPI: 1184198343
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y170300000XOther Service Providers
Genetic Counselor, MS

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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