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Individual

ADA Y. MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(239) 994-9453
Mailing address
2326 SW 20TH TER, CAPE CORAL, FL 33991-3087
(239) 233-6665

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9358909
FL

Other

Enumeration date
08/22/2018
Last updated
06/26/2020
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