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Individual
DR. SELINA MARIE MARTINEZ
Active
Individual
DR. SELINA MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A24057
CA
207Q00000X
Family Medicine Physician
DR0072968
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029651
KAISER COMMERCIAL NUMBER
CO
05
—
9000206462
—
CO
Enumeration date
03/23/2022
Last updated
09/01/2025
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