Individual
MIA ANGELINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
565 LAKEVIEW PKWY, VERNON HILLS, IL 60061-1857
(877) 486-4140
Mailing address
37249 N GRANDWOOD DR, GURNEE, IL 60031-1352
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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