Individual
LAURYN MADISON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15626 RUSSELL AVE, ALLEN PARK, MI 48101-2724
(313) 742-3802
Mailing address
15626 RUSSELL AVE, ALLEN PARK, MI 48101-2724
(313) 742-3802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016503
MI
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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