Individual
JENNIFER MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
628 ESPANOLA SE, ALBUQUERQUE, NM 87108
(505) 373-4821
Mailing address
628 ESPANOLA ST SE, ALBUQUERQUE, NM 87108-3989
(505) 373-4821
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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