Individual
JENNIFER LYNN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
9812 PITT PL NE, ALBUQUERQUE, NM 87111-3527
(505) 307-6504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2021-0111
NM
Other
Enumeration date
12/08/2021
Last updated
06/08/2023
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