Individual
ELLEN MARY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33355 HEALTH CAMPUS BLVD, AVON, OH 44011-1399
(440) 937-9099
Mailing address
17607 NARRAGANSETT AVE, LAKEWOOD, OH 44107-5345
(216) 906-4565
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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