IndividualActive
Ajelique Martin-Marietta
NPI 1285316430 · Other Technician · College Park, GA
Provider details
- NPI number
- 1285316430
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5436 Riverdale Rd Ste 125
College Park, GA 30349-6938
Phone: (678) 561-6933
Approximate (ZIP-level) locationGet directions
Mailing address
5436 Riverdale Rd Ste 125
College Park, GA 30349-6938
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2023-08-07
- Certified
- 2023-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.