Individual
MRS. ADRIENNE NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 E 10TH STREET,, PMS-ALAMOGORDO FAMILY HEALTH CENTER, ALAMOGORDO, NM 88310
(575) 434-2960
Mailing address
100 CREWS AVE, APT. G-21, ALAMOGORDO, NM 88310-4406
(765) 491-9658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2016-0010
NM
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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