Individual
MRS. JESSICA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 CEDAR ST, BROOMFIELD, CO 80020-1331
(480) 635-6025
Mailing address
1518 CEDAR ST, BROOMFIELD, CO 80020-1331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1633648
CO
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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