Individual
HUMBERTO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 STANFORD DR APT L107, MOUNT VERNON, WA 98273-3541
(206) 697-4083
Mailing address
212 STANFORD DR APT L107, MOUNT VERNON, WA 98273-3541
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC18520
WA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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