Individual
MRS. SAMANTHA JANE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
1 EDIZ HOOK, USCG SFO CLINIC, PORT ANGELES, WA 98362-2201
(360) 417-5894
(360) 417-5899
Mailing address
1 EDIZ HOOK, USCG SFO CLINIC, PORT ANGELES, WA 98362-2201
(360) 417-5894
(360) 417-5899
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1978078
WA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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