| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELIJAH DAVION MARTIN | 1184307035 | 2023-08-12 |
Elijah Davion Martin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184307035. Registration indicates Elijah Davion Martin is a provider of services with a specialization in Nursing Service Related Providers, Nurses Aide (Nurses Aide, ) (Nurses Aide, Nursing Service Related Providers) (Nurses Aide, )
| Entity Type | Individual |
| Provider Name | Elijah Davion Martin CNA |
| Practice Office Address | 1117 E 125TH ST # THC CLEVELAND, OH US |
| Practice Office Telephone | 3473876749 |
| Mailing Address | 544 DAVIS AVE # 1R STATEN ISLAND, NY 103102904 US |
| Business Telephone | 7327652115 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 544 Davis Ave | Staten Island, NY 103102904 | 7327652115 |
| Code | Practice | License No State |
|---|---|---|
| 376K00000X PRIMARY | Nursing Service Related Providers Nurses Aide Nurses Aide Nurses Aide Nursing Service Related Providers Nurses Aide | |
| 193400000X SING | Group Code |