Individual
MRS. SHERRY MARIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 PALMWOOD ST, DELTA, OH 43515-1139
(419) 822-9782
(419) 822-9782
Mailing address
440 MONROE ST, DELTA, OH 43515-1056
(419) 822-9222
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RF442746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263013527101
—
OH
Enumeration date
03/14/2007
Last updated
07/09/2007
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