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Individual

DIANA CAROLINA MARTINEZ HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3001 ROYAL AVE, PUEBLO, CO 81005-1768
(719) 240-7550
Mailing address
3001 ROYAL AVE, PUEBLO, CO 81005-1768
(719) 240-7550

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
172358701
MVD
CO
Enumeration date
12/12/2025
Last updated
12/12/2025
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