Individual
MRS. BRENNY E MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11795 ASPEN FOREST DR, JOHNS CREEK, GA 30005-4672
(978) 423-9961
Mailing address
11795 ASPEN FOREST DRIVE, JOHNS CREEK, GA 30005
(978) 423-9961
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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