Individual
MARTELL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 553-7418
Mailing address
7059 E MOUNT MORRIS RD, OTISVILLE, MI 48463-9420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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