Individual
KYLINE M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
2556A WILDCAT ROAD, QUESTA, NM 87556
(575) 586-0032
Mailing address
PO BOX 440, QUESTA, NM 87556-0440
(575) 586-0421
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
61800
NM
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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