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Individual

MICHAEL A MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HSW

Contact information

Practice address
107 W MECHANIC ST, ROCKTON, IL 61072-2420
(608) 888-3704
Mailing address
107 W MECHANIC ST, ROCKTON, IL 61072-2420
(608) 622-4123

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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