Individual
NANCY M MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 CRYSTAL LN, NORTH FORT MYERS, FL 33903-6939
(863) 509-1474
Mailing address
PO BOX 3215, NORTH FORT MYERS, FL 33918-3215
(863) 509-7414
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
235268
FL
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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