Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 60844999 | WA |
Y | 225XE1200X | Ergonomics | 60844999 | WA |
NPI | 1952933293 |
---|---|
Provider Name | Remisses Allen Martin |
First Address | Tumwater, WA 98512-6009 |
Second Address | Tumwater, WA 98512-6009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2020 |
Last Update Date | 05/02/2020 |