Individual
AYRISSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CANDELARIA RD NE STE A, ALBUQUERQUE, NM 87107-1946
(505) 458-8639
Mailing address
1710 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2023-0631
NM
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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