Individual
BIANCA DENISE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
713 VILLA SECA, HORIZON, TX 79928
(915) 630-0962
Mailing address
713 VILLA SECA, HORIZON, TX 79928
(915) 630-0962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
915804
TX
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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