NPI 1316433493
Andrei Martin
Practice location
- Address
- 6338 W Port Royale Ln, Glendale, AZ 85306-3260
- Phone
- (623) 487-0488
- Fax
- (623) 487-0488
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1316433493
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jul 2018
- Record last updated
- 2 Jul 2018
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.