Individual
BRANDY CORRINE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BAA
Contact information
Practice address
301 S CRAPO ST, MT PLEASANT, MI 48858-2941
(989) 772-5938
Mailing address
611 S WINN RD, MT PLEASANT, MI 48858-9647
(989) 330-4005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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