Individual
JANELLE MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
(253) 839-1071
Mailing address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
(253) 839-1071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60904992
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137443
—
WA
Enumeration date
06/12/2019
Last updated
12/07/2020
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