Individual
MARINA I MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1625 N GEORGE MASON DR, STE 465, ARLINGTON, VA 22205-3683
(703) 717-4051
(703) 717-4057
Mailing address
1625 N GEORGE MASON DR, STE 465, ARLINGTON, VA 22205-3683
(703) 717-4051
(703) 717-4057
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01010335929
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6203167
—
VA
Enumeration date
07/19/2006
Last updated
09/06/2023
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