Individual
MAYRA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6351 W RIO GRANDE AVE, KENNEWICK, WA 99336-7634
(509) 579-5830
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61612801
WA
363LF0000X
Family Nurse Practitioner
AP61612801
WA
Other
Enumeration date
12/13/2024
Last updated
02/24/2025
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