Individual
ALLEN R MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BMS COORDINATOR
Contact information
Practice address
314 DON FERNANDO ST, TAOS, NM 87571-5953
(575) 751-7037
(575) 758-3459
Mailing address
314 DON FERNANDO ST, TAOS, NM 87571-5953
(575) 751-7037
(575) 758-3459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
06/09/2010
Last updated
02/03/2016
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