Individual
MS. RONNETTA M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(443) 405-5900
Mailing address
5665 HOOVER RD, GROVE CITY, OH 43123-9280
(443) 405-5900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OH
Enumeration date
09/14/2022
Last updated
09/14/2022
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