Individual
AISHA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 S DEES DR, OKLAHOMA CITY, OK 73150-3201
(405) 512-9674
Mailing address
4801 S DEES DR, OKLAHOMA CITY, OK 73150-3201
(405) 512-9674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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