Individual
TAMARA DANETT MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1500 E 15TH ST, DOUGLAS, AZ 85607-1731
(520) 364-3462
(520) 805-4171
Mailing address
1132 E 12TH ST, DOUGLAS, AZ 85607-2337
(520) 364-2447
(520) 224-2475
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043706
AZ
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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