Individual
MRS. JILLIAN MARTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T., A.T.C
Contact information
Practice address
10860 HIGHLAND RD, HARTLAND, MI 48353-2629
(810) 632-1000
Mailing address
10860 HIGHLAND RD, HARTLAND, MI 48353-2629
(810) 632-1000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000268
MI
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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