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Individual

REBECCA DIANA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
110 DENNIS DR, SANFORD, NC 27330-6343
(919) 774-4511
(919) 774-3196
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5006860
NC

Other

Enumeration date
04/24/2014
Last updated
02/06/2017
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