Individual
MRS. WENDY ELIZA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH.
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-1618
Mailing address
3822 E PACKARD AVE, KINGMAN, AZ 86409-0826
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
10989
AZ
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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