Individual
FALISA LATRESE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10157 ROLAN MEADOWS DR, VAN BUREN TOWNSHIP, MI 48111-8104
(313) 333-9711
Mailing address
10157 ROLAN MEADOWS DR, VAN BUREN TOWNSHIP, MI 48111-8104
(313) 333-9711
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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