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Individual

ADRIENNA SCHELL MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4600 GARFIELD RD, AUBURN, MI 48611-9369
(989) 389-0265
Mailing address
300 S CHILSON ST, BAY CITY, MI 48706-4461
(989) 522-0344

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
J300630013283
MI
Enumeration date
07/07/2020
Last updated
07/07/2020
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