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Individual

HAILEY DENISE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2211 SHED RD, BOSSIER CITY, LA 71111-3670
(318) 746-3880
Mailing address
197 SKYLER DR, GLOSTER, LA 71030-3504
(318) 453-1226

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201154
LA

Other

Enumeration date
07/10/2026
Last updated
07/10/2026
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