Individual
MISS NANCY L. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532-2811
(505) 747-0102
Mailing address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532-2811
(505) 747-0102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/17/2009
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