Denise Marie Martincic

NPI #1982165304 in Niles, Illinois

Provider Information

NPI Number: 1982165304
Entity Type: Individual
Name: Denise Marie Martincic
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Mar 28, 2019
Last Updated: Mar 28, 2019

Practice Location

Address: 8259 N OCTAVIA AVE
City: Niles
State: Illinois
ZIP Code: 60714-2624
Phone: (216) 331-9365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Bus	347B00000X
Private Vehicle	347C00000X
Transportation Broker	347E00000X
Driver	172A00000X	Primary

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