Ajelique Martin-Marietta

NPI #1285316430 in College Park, Georgia

Provider Information

NPI Number: 1285316430
Entity Type: Individual
Name: Ajelique Martin-Marietta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Aug 7, 2023
Last Updated: Aug 7, 2023

Practice Location

Address: 5436 RIVERDALE RD STE 125
City: College Park
State: Georgia
ZIP Code: 30349-6938
Phone: (678) 561-6933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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