Individual
VERNARDINO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 CHASE AVE, WALLA WALLA, WA 99362-3929
(509) 520-4099
Mailing address
504 CHASE AVE, WALLA WALLA, WA 99362-3929
(509) 520-4099
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55308
WA
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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