Individual
ANTONIO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA M.ED
Contact information
Practice address
21490 MILLER AVE, EUCLID, OH 44119-2330
(216) 904-4859
Mailing address
2000 AUBURN DR STE 240, BEACHWOOD, OH 44122-4314
(216) 904-4859
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
05/23/2024
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