Susan Vander Martin, RN

NPI #1124664594 in Wasilla, Alaska

Provider Information

NPI Number: 1124664594
Entity Type: Individual
Name: Susan Vander Martin, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RN
Enumeration Date: Nov 20, 2019
Last Updated: Nov 20, 2019

Practice Location

Address: 5620 E BEAVER AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-4633
Phone: (479) 774-2484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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