Individual
MRS. MARTRILLA MARIE ROSS-CHATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17650 W 12 MILE RD, 514 ALGER, SOUTHFIELD, MI 48076-1911
(313) 717-3484
(313) 871-9950
Mailing address
17650 W 12 MILE RD, SOUTHFIELD, MI 48076-1911
(313) 717-3484
(313) 871-9950
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704131804
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704131804
NURSING LICENSE
MI
Enumeration date
03/21/2007
Last updated
07/08/2007
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