Individual
MRS. JENIVA LEANN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSISTANT SLP
Contact information
Practice address
431 WOLFE RD STE 101, SAN ANTONIO, TX 78216-4628
(210) 582-6840
Mailing address
431 WOLFE RD, SAN ANTONIO, TX 78216-4628
(210) 582-5840
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952614067
—
TX
Enumeration date
07/29/2019
Last updated
11/27/2023
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