Individual
MARY MARTELLONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2581 SAWGRASS LAKE CT, CAPE CORAL, FL 33909-2935
(410) 698-2665
Mailing address
7126 GREENBANK RD, MIDDLE RIVER, MD 21220-1112
(410) 698-2665
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TN34653
TN
Other
Enumeration date
06/26/2018
Last updated
08/26/2024
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