Individual
MRS. CARLA RENEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 S TRENT RD, RAVENNA, MI 49451-8816
(616) 550-1804
Mailing address
136 S TRENT RD, RAVENNA, MI 49451-8816
(616) 550-1804
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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