Individual
MARYAM L MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12671 JERSEY CIR W, THORNTON, CO 80602-4657
(702) 810-0234
Mailing address
12671 JERSEY CIR W # W, THORNTON, CO 80602-4657
(702) 810-0234
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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