Individual
MR. JACOB ALBERT MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
4441 E LOHMAN AVE, LAS CRUCES, NM 88011-8267
(575) 202-2713
Mailing address
2020 SAN PATRICIO LOOP, LAS CRUCES, NM 88011-4203
(575) 202-2713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4714
NM
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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