Individual
DEBRA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 WAGNER RD, BAY CITY, MI 48708-9144
(734) 695-9524
Mailing address
151 WAGNER RD, BAY CITY, MI 48708-9144
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118072
MI
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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