Individual
WENDYS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 E OAK ST, KISSIMMEE, FL 34744-4537
14079338331
Mailing address
306 E OAK ST, KISSIMMEE, FL 34744-4537
(407) 933-8331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-000872-2014
FL
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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