Individual
CAROLINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10440 55TH AVE, PLEASANT PRAIRIE, WI 53158-3401
(262) 620-5209
Mailing address
10440 55TH AVE, PLEASANT PRAIRIE, WI 53158-3401
(262) 620-5209
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
WI
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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