Individual
MRS. ELIZABETH S MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
HC 77 BOX 271, LAGUNA, NM 87026-9704
(505) 918-6270
Mailing address
HC 77 BOX 271, LAGUNA, NM 87026-9704
(505) 918-6270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4067
NM
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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