Individual
MISS MIQUELA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2001 CHAMISA ST, SANTA FE, NM 87505-3441
(505) 982-2129
(505) 992-1149
Mailing address
2001 CHAMISA ST, SANTA FE, NM 87505-3441
(505) 982-2129
(505) 992-1149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-22166
NM
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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