Individual
MISS MELISSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
230 ROTTEN TREE ROAD, TAOS, NM 87571
(575) 758-7824
(575) 758-3346
Mailing address
230 ROTTEN TREE ROAD, TAOS, NM 87571
(575) 758-7824
(575) 758-3346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
298
NM
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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