Individual
SUSSANNE J MARMOL DE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 207-0088
Mailing address
1821 E DYER RD STE 200, SANTA ANA, CA 92705-5700
(949) 250-0488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/14/2009
Last updated
07/23/2021
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