Individual
LAURA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12555 ORANGE DR, DAVIE, FL 33330-4304
(954) 862-1707
Mailing address
12850 W STATE ROAD 84 LOT 2-12, DAVIE, FL 33325-3319
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/24/2010
Last updated
12/24/2010
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