Individual
CAROLINA OLIVAS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
716 S DALLAS AVE, PORTALES, NM 88130-6055
(575) 562-0464
Mailing address
716 S DALLAS AVE, PORTALES, NM 88130-6055
(575) 562-0464
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1664
NM
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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