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Dana Martin

Technician, Personal Care Attendant in Southgate, MI. Individual provider (NPI-1).

NPI number1245496751
StatusActive
Last updated in NPPESAug 4, 2008

Details

NPI
1245496751
Entity type
Individual (NPI-1)
Name
Dana Martin
Sex
Female
Sole proprietor
No
Enumeration date
Aug 4, 2008
Last updated
Aug 4, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

19401 Northline Rd
Southgate, MI 48195-2277

Phone 734-785-7718

Mailing address

11071 W Clements Cir
Livonia, MI 48150-3103

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