Individual
MRS. IDALISSE MARTINEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
118 LILY GREEN CT NW, CONCORD, NC 28027-3394
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1126
FL
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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