Individual
BRENDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25820 SOUTHFIELD RD STE 111, SOUTHFIELD, MI 48075-1800
(248) 200-7620
Mailing address
250 E HARBORTOWN DR APT 1205, DETROIT, MI 48207-5012
(248) 820-0338
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704113961
MI
Other
Enumeration date
02/10/2019
Last updated
02/10/2019
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