MARTHA SOCORRO KOZUB

HAMMOND, IN
NPI1609098607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71000129A)
Enumeration Date2007-05-02
Last Update Date2021-03-19
Business Address
MARTHA SOCORRO KOZUB APN
5514 HOHMAN AVE.
HAMMOND, IN 46320
Phone number: 219-933-2018
Mailing Address
MARTHA SOCORRO KOZUB APN
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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