Individual
DIANA ELISABET MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 E CEDAR AVE, LA CENTER, WA 98629-5493
(360) 601-5088
Mailing address
745 E CEDAR AVE, LA CENTER, WA 98629-5493
(360) 601-5088
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC54846
WA
171R00000X
Interpreter
MC54846
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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