Individual
CYNTHIA (CINDY) M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 RIO PECOS RD, AZTEC, NM 87410-1646
(505) 334-2621
(505) 599-4391
Mailing address
EXCEPTIONAL PROGRAM OFFICE, 1118 W. AZTEC BLVD., AZTEC, NM 87410
(505) 334-3695
(505) 599-4388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R34985
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1919
—
NM
Enumeration date
10/02/2020
Last updated
10/02/2020
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