Individual
MRS. CRYSTAL MARTINEZ-JACOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
761 15TH ST SE, MASSILLON, OH 44646-8256
(330) 245-6443
Mailing address
PO BOX 1258, MASSILLON, OH 44648-1258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.510218
OH
164W00000X
Licensed Practical Nurse
LPN.171745.MEDS-IV
OH
Other
Enumeration date
09/09/2019
Last updated
06/26/2022
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