Individual
ANGELE RENEE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17325 PENN BLVD, PRAIRIEVILLE, LA 70769-5728
(225) 494-3490
Mailing address
17325 PENN BLVD, PRAIRIEVILLE, LA 70769-5728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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