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Individual

ERICA PAOLA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NC60483936

Contact information

Practice address
8 C ST NW, QUINCY, WA 98848-1016
(509) 289-7527
Mailing address
8 C ST NW, QUINCY, WA 98848-1016
(509) 289-7527

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60483936
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NC60483936
WA
Enumeration date
01/09/2019
Last updated
01/09/2019
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