Individual
IVONNE MARTINEZ MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1227 LAMBETH RD APT 4, WAUKESHA, WI 53189-7145
(262) 549-9923
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
206046
PR
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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