Individual
DE ANDRE JERMELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20567 ASBURY PARK, DETROIT, MI 48235-2107
(313) 500-6625
Mailing address
20567 ASBURY PARK, DETROIT, MI 48235-2107
(313) 500-6625
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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