Individual
MARTENIS LEMARR VAUGHN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 S SAGINAW ST, FLINT, MI 48503-3705
(810) 936-1183
Mailing address
2310 NOLEN DR, FLINT, MI 48504-5201
(810) 936-1183
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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