NPI 1023673266

Marquita Latoria Martin

Practitioner Driver Portsmouth, VA

Practice location

Address: 178 Nautico Way, Portsmouth, VA 23703-5469
Phone: (757) 920-9420
Fax: (757) 484-7256

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 46955 (VA)

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Registry record

NPI: 1023673266
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2019
Record last updated: 2 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.