Provider Demographics
NPI:1366954943
Name:MARTIN FADRHONC, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MARTIN FADRHONC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 TRINITY RD
Mailing Address - Street 2:
Mailing Address - City:BRISBANE
Mailing Address - State:CA
Mailing Address - Zip Code:94005-1315
Mailing Address - Country:US
Mailing Address - Phone:617-413-9992
Mailing Address - Fax:
Practice Address - Street 1:241 TRINITY RD
Practice Address - Street 2:
Practice Address - City:BRISBANE
Practice Address - State:CA
Practice Address - Zip Code:94005-1315
Practice Address - Country:US
Practice Address - Phone:617-413-9992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula