Individual
DARLA MIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2977
NV
363AM0700X
Medical Physician Assistant
Primary
PA2977
NV
Other
Enumeration date
02/19/2024
Last updated
02/22/2024
Update your record
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