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Individual

LYANETTE MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9270 EAGLE RANCH RD NW APT 228, ALBUQUERQUE, NM 87114-6270
(505) 901-9292
Mailing address
9270 EAGLE RANCH RD NW APT 228, ALBUQUERQUE, NM 87114-6270
(505) 901-9292

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
03/12/2018
Last updated
03/12/2018
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