Individual
AMANDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 MINNESOTA ST, ROCHESTER, NY 14608
(585) 314-0367
Mailing address
125 MINNESOTA ST, ROCHESTER, NY 14609-7540
(585) 314-0367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321588-1
NY
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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