Individual
ALICIA JASMINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W CHOCTAW AVE, CHICKASHA, OK 73018-2310
(405) 320-8026
Mailing address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 422-8800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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