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Individual
MARY ALLAN F. MARTINEZ
Active
Individual
MARY ALLAN F. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024083857
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25560N
SENTARA HEALTHCARE
VA
Enumeration date
01/09/2006
Last updated
07/08/2007
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