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Individual

M. EMILIA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9540 STONE RIDGE DR NW, ALBUQUERQUE, NM 87114-3006
(505) 429-1716
(505) 212-0447
Mailing address
9540 STONE RIDGE DR NW, ALBUQUERQUE, NM 87114-3006
(505) 429-1716
(505) 212-0447

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R42147
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84-3345400
HOME HEALTH CARE
NM
Enumeration date
11/26/2019
Last updated
11/26/2019
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