Individual
JERRY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-7148
Mailing address
7301 N. 58TH AVE, GLENDALE, AZ 85301-1893
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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