Individual
GABRIELLA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 LASKIN RD, VIRGINIA BEACH, VA 23451-6007
(757) 263-2800
Mailing address
1825 ROYALE WALK DR, VIRGINIA BEACH, VA 23456-5297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000095
VA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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