Individual
STACIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2380 MCGINLEY RD, MONROEVILLE, PA 15146-4400
(412) 516-9456
Mailing address
2470 TREESE AVE, INDIANA, PA 15701-3232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN264321
PA
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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