Individual
ALICIA DIANE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 ROSE CT, GRANTS, NM 87020-3918
(505) 240-7447
Mailing address
101 ROSE CT, GRANTS, NM 87020-3918
(505) 240-7447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R57572
NM
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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