Individual
AMANDA NICOLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4494 N PALMER RD, BETHESDA, MD 20889-0001
(301) 295-4000
Mailing address
620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0101265131
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
02/09/2017
Last updated
02/10/2025
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