Individual
BRENDA ANN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QSP
Contact information
Practice address
2814 18TH ST S APT 4, FARGO, ND 58103-6758
(701) 799-1436
Mailing address
2814 18TH ST S APT 4, FARGO, ND 58103-6758
(701) 799-1436
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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