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Individual
STEFANIE J MARTINEZ
Active
Individual
STEFANIE J MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2659
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528299732
NPI FOR FLEETWOOD CONVENIENT CARE/MEDICAL CENTER EASLEY
SC
05
—
AA1139 6952
—
SC
05
—
NP1139
—
SC
Enumeration date
05/17/2006
Last updated
10/17/2024
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