Individual
KIMBERLY T MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7521 68TH AVE # 1, MIDDLE VILLAGE, NY 11379-2814
(917) 202-3119
Mailing address
7521 68TH AVE # 1, MIDDLE VILLAGE, NY 11379-2814
(917) 202-3119
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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