Individual
IMELDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
(505) 830-1871
Mailing address
279 QUETZAL DR SW, ALBUQUERQUE, NM 87105-0202
(505) 410-1986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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