Individual
GABY JASMIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
(616) 774-2044
Mailing address
832 WISCONSIN ST SW, WYOMING, MI 49509-1955
(616) 828-9545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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