Individual
ELIZANDRO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
422 MEDICO LN, SANTA FE, NM 87505-4786
(505) 986-9109
Mailing address
33 SUNRISE RD, SANTA FE, NM 87507
(505) 670-3012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9397
NM
Other
Enumeration date
09/09/2020
Last updated
09/24/2020
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