Individual
MS. MARY REGINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Mailing address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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