Individual
CHRISTINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 N 1700 W, LAYTON, UT 84041-1140
(801) 779-3001
(801) 774-6100
Mailing address
PO BOX 460, BOUNTIFUL, UT 84011-0460
(801) 779-3001
(801) 774-6100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
198583-3102
UT
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
198583-3102
UT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
198583-3102
UT
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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