Individual
MISS JASMINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 N LINCOLN AVE APT 103, URBANA, IL 61801-1092
(815) 992-0454
Mailing address
1901 N LINCOLN AVE APT 103, URBANA, IL 61801-1092
(815) 992-0454
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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