Individual
CASEY SUELYNN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
747 MAPLE AVE, NEWARK, OH 43055-6046
(740) 644-3391
Mailing address
747 MAPLE AVE, NEWARK, OH 43055-6046
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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