Individual
MRS. DONNA R MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255A CAMINO DEL PUBELO, BERNALILLO, NM 87004
(505) 867-2356
(505) 867-2357
Mailing address
255A CAMINO DEL PUBELO, BERNALILLO, NM 87004
(505) 867-2356
(505) 867-2357
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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