Individual
JESSICA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 573-1000
Mailing address
14534 GOLFVIEW ST, LIVONIA, MI 48154-5109
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/29/2026
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