Individual
WENDOLY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10004 N DALE MABRY HWY STE 102, TAMPA, FL 33618-4421
(401) 837-1607
Mailing address
10004 N DALE MABRY HWY STE 102, TAMPA, FL 33618-4421
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
40112874
RI
Other
Enumeration date
07/12/2023
Last updated
07/14/2023
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