Search › California › 172V00000X
La Shada Martin
NPI 1952758898 · on the registry since 2016 · sole proprietor
Practice
- Address
- 13010 Kornblum Ave
Unit D
Hawthorne, CA 90250 - Phone
- (310) 462-0631
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 171W00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California