Individual
DONNA LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
345 E HARRY AVE, HAZEL PARK, MI 48030-2054
(586) 822-8969
Mailing address
345 E HARRY AVE, HAZEL PARK, MI 48030-2054
(586) 822-8969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704272610
MI
227900000X
Registered Respiratory Therapist
4401002843
MI
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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