Individual
ROSA ALBA MARTINEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 W CLINTON ST APT 111, GOSHEN, IN 46526-1822
(484) 843-3186
Mailing address
2512 W CLINTON ST APT 111, GOSHEN, IN 46526-1822
(484) 843-3186
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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