Individual
STEPHANIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3251 CERRILLOS RD, SANTA FE, NM 87507-2924
(505) 473-4261
Mailing address
3251 CERRILLOS RD, SANTA FE, NM 87507-2924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008541
NM
Other
Enumeration date
04/22/2017
Last updated
04/22/2017
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