Individual
JENNICA LEE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 S WILLIAMS ST, KENNEWICK, WA 99337-2587
(509) 750-4964
Mailing address
3309 S. WILLIAMS ST., KENNEWICK, WA 99337
(509) 750-4964
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
08/19/2013
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