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Individual

MARTHA MANZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
35 W HURON ST, SUITE 10 SOUTH, PONTIAC, MI 48342-2120
(248) 335-0632
(248) 335-1067
Mailing address
35 W HURON ST, SUITE 10 SOUTH, PONTIAC, MI 48342-2120
(248) 335-0632
(248) 335-1067

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704117319
MI

Other

Enumeration date
12/23/2013
Last updated
12/23/2013
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