Individual
ALICIA MARTINEZ-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
(405) 481-7187
Mailing address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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