Individual
SARA JOELLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6795 N MINERAL DR, COEUR D ALENE, ID 83815-8700
(208) 620-5200
Mailing address
10870 N RAMSEY RD, HAYDEN, ID 83835-9799
(208) 640-3704
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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