Individual
BRENDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 76, TONTOGANY, OH 43565-0076
(419) 409-0594
Mailing address
PO BOX 76, 18435 BROAD ST, TONTOGANY, OH 43565
(419) 409-0594
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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