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Individual

HEIDI EDITH MARTINEZ MARQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 257-3904
Mailing address
5420 N 63RD DR, GLENDALE, AZ 85301-6502
(623) 383-0482

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN215884
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
AZ
Enumeration date
11/13/2019
Last updated
11/13/2019
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