Individual
IRIS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 OLIVE ST, HEAVENER, OK 74937-2035
(918) 817-2172
Mailing address
400 OLIVE ST, HEAVENER, OK 74937-2035
(918) 817-2172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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