Individual
MS. ELIZABETH ANNE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1400 WEIMER RD, TAOS, NM 87571-6346
(505) 758-2073
(505) 751-3031
Mailing address
PO BOX 670, RANCHOS DE TAOS, NM 87557-0670
(505) 758-1970
(505) 751-3031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
78-PA006
NM
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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