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Individual

STEPHANIE MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11426 FAIR HOLLOW DR, SAN ANTONIO, TX 78249-3834
(210) 608-0611
Mailing address
PO BOX 1697, HELOTES, TX 78023-1697
(210) 608-0611

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
81-5065995
TX

Other

Enumeration date
01/24/2017
Last updated
01/24/2017
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