Individual
MS. JUDY RENE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
274 JOHNSTON DR, DOUSMAN, WI 53118-9340
(262) 965-5914
Mailing address
274 JOHNSTON DR, DOUSMAN, WI 53118-9340
(262) 965-5914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
163WH0200X
Home Health Registered Nurse
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38211600
—
WI
Enumeration date
01/25/2007
Last updated
10/30/2007
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