Individual
RUBEN BLAKE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 S GAINES ST APT B, LITTLE ROCK, AR 72202-3700
(848) 221-9065
Mailing address
1410 S GAINES ST APT B, LITTLE ROCK, AR 72202-3700
(848) 221-9065
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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