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MRS. CARLA RENEE MARTIN

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1831571058

Individual Registrant:
MRS. CARLA RENEE MARTIN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
136 S TRENT RD  RAVENNA, MI 49451-8816 US
Tel: 616-550-1804  Fax: --

Contact information for business:
136 S TRENT RD  RAVENNA, MI 49451-8816 US
Tel: 616-550-1804  Fax: --

Registration Information:
NPI: 1831571058
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
MI

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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