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Individual

JENAYE MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
2120 N CENTRAL AVE STE 130, PHOENIX, AZ 85004-1454
(623) 552-1219
Mailing address
500 N METRO BLVD APT 2032, CHANDLER, AZ 85226-3170

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
OTH-009262
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/03/2020
Last updated
08/10/2023
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