Individual
LEAH NOEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 W BROADWAY, COUNCIL BLUFFS, IA 51501-3814
(712) 215-6588
Mailing address
3606 RAMELLE DR, COUNCIL BLUFFS, IA 51501-7935
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P52376
IA
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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