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Individual
IVAN MARTINEZ
Active
Individual
IVAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
9381202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9381202
STATE NURSING LICENSE
FL
Enumeration date
06/06/2020
Last updated
06/06/2020
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