Individual
CHANEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 FOX HILLS DR N, APT 7, BLOOMFIELD HILLS, MI 48304-1332
(313) 808-5395
Mailing address
458 FOX HILLS DR N, APT 7, BLOOMFIELD HILLS, MI 48304-1332
(313) 808-5395
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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