Individual
LILI MARLAINE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2200 BERQUEST DR SUITE 1, SAN ANTONIO, TX 78236
(210) 292-7325
Mailing address
2547 CRESTED HTS, SCHERTZ, TX 78154-2661
(210) 945-0712
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
09298
OH
367500000X
Certified Registered Nurse Anesthetist
693749
TX
Other
Enumeration date
02/28/2007
Last updated
10/09/2008
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