Individual
ASHLEY ELIZABETH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 HARBOR LN N STE 1200, PLYMOUTH, MN 55447-5138
(612) 439-4650
Mailing address
4201 GOLDENROD LN N, PLYMOUTH, MN 55441-1242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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