Individual
JAYLA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
64 KIHALANI ST UNIT 808, KIHEI, HI 96753-7696
(808) 446-9992
Mailing address
64 KIHALANI ST UNIT 808, KIHEI, HI 96753-7696
(808) 446-9992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1632
HI
Other
Enumeration date
05/20/2019
Last updated
06/03/2019
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