Martin, Mahogany Shavonne

Martin, Mahogany Shavonne is an individual health care provider with primary practice located at 5127 Waycross Dr , Cross Lanes WV 25313-1737. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Martin, Mahogany Shavonne can be contacted via phone (304) 807-5303.

Contact Information

Primary practice address
5127 Waycross Dr Cross Lanes WV 25313-1737
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1902400302
LBN Legal business name Martin, Mahogany Shavonne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2020
Last updated Nov 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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