Individual
ELISA ROSE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2215 FULLER ROAD, ANN ARBOR, MI 48105-2300
(419) 259-2000
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
144161
OH
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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