Individual
JESSICA JEAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4734 E EVERGREEN ST, MESA, AZ 85205-5216
(602) 931-7782
Mailing address
11445 E VIA LINDA STE 2235, SCOTTSDALE, AZ 85259-2655
(602) 403-5220
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12289
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SLPA12289
—
AZ
Enumeration date
08/19/2022
Last updated
08/19/2022
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