Individual
MITCHELL RYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 E SANTA MARIA AVE, EFFINGHAM, IL 62401-3025
(217) 690-3240
Mailing address
207 E SANTA MARIA AVE, EFFINGHAM, IL 62401-3025
(217) 690-3240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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