Individual
JOSE ALEJANDRO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
104 N NOLAN AVE, CAMERON, TX 76520-3255
(254) 421-3979
Mailing address
104 N NOLAN AVE, CAMERON, TX 76520-3255
(254) 421-3979
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
350461
TX
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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