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Ajelique Martin-Marietta
NPI 1285316430 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5436 Riverdale Rd Ste 125
College Park, GA 30349 - Phone
- (678) 561-6933
- Organisation at this address
- New Era Medical Equipment And Supplies
Home Of Wellness Counseling Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia