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Individual

MR. JESSE S MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
577 EL LLANO RD, ESPANOLA, NM 87532-2911
(505) 753-1656
Mailing address
577 EL LLANO RD, ESPANOLA, NM 87532-2911
(505) 753-1656

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-3701
NM

Other

Enumeration date
05/07/2007
Last updated
07/08/2007
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