ICELLE GRACE VILLANUEVA MARTINEZ

LIVONIA, MI
NPI1508423138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MI  5501012216)
Enumeration Date2019-05-20
Last Update Date2019-05-20
Business Address
ICELLE GRACE VILLANUEVA MARTINEZ PT, DPT
36313 ST ANDREWS DR
LIVONIA, MI 48152-4130
Phone number: 248-805-2622
Mailing Address
ICELLE GRACE VILLANUEVA MARTINEZ PT, DPT
36313 ST ANDREWS DR
LIVONIA, MI 48152-4130
Phone number: 248-805-2622
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