Individual
CAROL ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 W CHICAGO BLVD STE 13, TECUMSEH, MI 49286-1666
(517) 423-0004
(517) 423-0010
Mailing address
808 W CHICAGO BLVD STE 13, TECUMSEH, MI 49286-1666
(517) 423-0004
(517) 423-0010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703078042
MI
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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