MAR LU MONGCOPA MARTINEZ

LIVONIA, MI
NPI1902446958
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501013558)
Enumeration Date2020-01-07
Last Update Date2020-01-07
Business Address
MAR LU MONGCOPA MARTINEZ PT
36313 ST ANDREWS DR
LIVONIA, MI 48152-4130
Phone number: 248-805-2621
Mailing Address
MAR LU MONGCOPA MARTINEZ PT
36313 ST ANDREWS DR
LIVONIA, MI 48152-4130
Phone number: 248-805-2621
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