Individual
TORRE VANCHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT FOSTER CARE
Contact information
Practice address
43732 MEDEA DR, CLINTON TOWNSHIP, MI 48036-1299
(586) 569-9155
Mailing address
43732 MEDEA DR, CLINTON TOWNSHIP, MI 48036-1299
(586) 569-9155
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AF500272469
MI
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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