Individual
MARTIYANA GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7439 FRANKFORD AVE LOWR LEVEL2, PHILADELPHIA, PA 19136-3600
(267) 689-7877
Mailing address
5850 KEMBLE AVE, PHILADELPHIA, PA 19141-1211
(267) 270-5255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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