Individual
AMANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
8942 SENECA TRL S, RONCEVERTE, WV 24970-8374
(304) 645-7474
Mailing address
8942 SENECA TRL S, RONCEVERTE, WV 24970-8374
(303) 046-4574
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
97573
WV
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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