Martha Virginia Potter

NPI #1083282370 in Westland, Michigan

Provider Information

NPI Number: 1083282370
Entity Type: Individual
Name: Martha Virginia Potter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Jun 14, 2021
Last Updated: Jun 14, 2021

Practice Location

Address: 35617 FERNWOOD ST
City: Westland
State: Michigan
ZIP Code: 48186-4107
Phone: (734) 968-5360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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