Individual
CORAL BREANNE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N GRAND AVE STE 150, PUEBLO, CO 81003-2755
(719) 595-7680
Mailing address
1600 N GRAND AVE STE 150, PUEBLO, CO 81003-2755
(719) 595-7680
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0994299-NP
CO
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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