Individual
DORI MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 361-7200
(608) 361-7201
Mailing address
2171 BOOTMAKER DR, BELOIT, WI 53511-2317
(608) 290-6521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236221-30
WI
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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