Individual
HOLLEY ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 442-0680
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 442-0680
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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