Individual
SUYAPA YESENIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFTS
Contact information
Practice address
3801 COMPUTER DR STE 110, RALEIGH, NC 27609-6506
(919) 803-2541
(919) 424-7913
Mailing address
1108 CLOUD NINE CT, WAKE FOREST, NC 27587-7137
(919) 332-9578
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CFTS2069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CFTS2069
ABC ORTHOTICS PEDORTHICS
NC
Enumeration date
05/07/2021
Last updated
05/07/2021
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