Individual
MS. TAMARA ROSE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8005 PENNSYLVANIA CIR NE, ALBUQUERQUE, NM 87110-7810
(505) 248-0798
Mailing address
1413 GLORIETA ST NE, ALBUQUERQUE, NM 87112-4118
(505) 610-2612
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LMT 5402
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT5402
MASSAGE THERAPIST
NM
Enumeration date
05/11/2007
Last updated
07/08/2007
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