Individual
MARTHE AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 MISSOURI RIVER CT, ADRIAN, MI 49221-3789
(509) 424-0743
(517) 423-7772
Mailing address
508 MISSOURI RIVER CT, ADRIAN, MI 49221-3789
(509) 424-0743
(517) 423-7772
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001117939
CIS CUSTOMER ID
MI
01
—
0028573750
CIS CUSTOMER ID
MI
Enumeration date
07/21/2015
Last updated
07/21/2015
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