Individual
MARTHA ELIA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1423 E ROOSEVELT AVE, GRANTS, NM 87020-2245
(505) 287-6500
Mailing address
20 PRESERVE DR, NEWNAN, GA 30263-2283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60147
NM
Other
Enumeration date
05/14/2018
Last updated
11/27/2023
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